Rajan Senguttuvan, MD | |
3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 | |
(313) 832-9220 | |
(313) 993-8977 |
Full Name | Rajan Senguttuvan |
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Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 3901 Beaubien, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740543396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301111169 (Michigan) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | 4301111169 (Michigan) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Rajan Senguttuvan, MD 4201 St. Antoine - Uhc 5d #226, University Pediatricians, Detroit, MI 48201-2153 Ph: (313) 745-4405 | Rajan Senguttuvan, MD 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Ph: (313) 832-9220 |
Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305 | |
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237 | |
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955 | |
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665 | |
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555 | |
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533 | |
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870 |