| Dr Keith Dharamraj, MD | |
|
1254 N Main St, Lapeer, MI 48446-1343 | |
| (810) 664-4531 | |
| (810) 667-7337 |
| Full Name | Dr Keith Dharamraj |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1254 N Main St, Lapeer, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962484139 | NPI | - | NPPES |
| 201569 | Other | MI | MCLAREN HEALTH PLAN |
| C5691 | Other | MI | MCARE |
| 3640942004 | Other | MI | CIGNA |
| A78935 | Other | MI | HEALTH NET FED SERVICES |
| 0104255401 | Other | MI | HEALTHPLUS |
| 3504422641 | Other | MI | BLUE CROSS BLUE SHIELD |
| 201569 | Other | MI | HEALTH ADVANTAGE |
| 4568147 | Medicaid | MI | |
| 5604138 | Other | MI | AETNA |
| A78935 | Other | MI | HAP |
| 4494689 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301042554 (Michigan) | Primary |
| Entity Name | Mclaren Lapeer Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124151147 PECOS PAC ID: 8123000544 Enrollment ID: O20050730000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Dharamraj, MD 401 S Ballenger Hwy, Flint, MI 48532-3638 Ph: (810) 342-1000 | Dr Keith Dharamraj, MD 1254 N Main St, Lapeer, MI 48446-1343 Ph: (810) 664-4531 |
Urmila Revanth, Pediatrics Medicare: Medicare Enrolled Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500 | |
Dr. Paul D Lepor, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1254 N Main St, Lapeer, MI 48446 Phone: 810-664-4531 Fax: 810-667-7337 | |
Dr. Mark A Braniecki, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 944 Baldwin Rd, Suite A, Lapeer, MI 48446 Phone: 810-245-5562 Fax: 810-245-7838 | |
Dr. Mohammad Al-harastani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1083 Suncrest Dr, Suite-a, Lapeer, MI 48446 Phone: 810-245-9700 Fax: 810-245-9703 | |
Sami Al-harastani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1083 Suncrest Dr Ste A, Lapeer, MI 48446 Phone: 810-245-9700 | |
Sydney Ann Howard, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1083 Suncrest Dr, Lapeer, MI 48446 Phone: 810-221-1813 |