Individual
DR. KEITH DHARAMRAJ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1254 N MAIN ST, LAPEER, MI 48446-1343
(810) 664-4531
(810) 667-7337
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301042554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104255401
HEALTHPLUS
MI
01
—
201569
MCLAREN HEALTH PLAN
MI
01
—
3504422641
BLUE CROSS BLUE SHIELD
MI
01
—
3640942004
CIGNA
MI
05
—
4494689
—
MI
05
—
4568147
—
MI
01
—
5604138
AETNA
MI
01
—
A78935
HEALTH NET FED SERVICES
MI
01
—
C5691
MCARE
MI
Enumeration date
11/15/2005
Last updated
07/08/2007
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