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Individual

NEERAJA THAMMADI RAVIKANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2400
(734) 773-3471

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301093334
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135779
NJ
Enumeration date
04/11/2007
Last updated
02/22/2019
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