| Kanthi Sankar Rajan, MD | |
|
131 Kercheval Ave, Grosse Pointe Farms, MI 48236-3629 | |
| (313) 882-7900 | |
| (313) 640-2253 |
| Full Name | Kanthi Sankar Rajan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 131 Kercheval Ave, Grosse Pointe Farms, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104973916 | NPI | - | NPPES |
| 700H262280 | Other | BLUE CROSS-BLUE CROSS | |
| KR069868 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| KR069868 | Other | CHAMPUS-CHAMPUS | |
| 427186110 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301069868 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanthi Sankar Rajan, MD 131 Kercheval Ave, Suite 10, Grosse Pointe Farms, MI 48236-3629 Ph: (313) 882-7900 | Kanthi Sankar Rajan, MD 131 Kercheval Ave, Grosse Pointe Farms, MI 48236-3629 Ph: (313) 882-7900 |
Gohar Javed Warraich, M.B.B.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 159 Kercheval Ave, Grosse Pointe Farms, MI 48236 Phone: 313-640-1000 | |
Ashley Nicole Falco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 131 Kercheval Ave Ste 10, Grosse Pointe Farms, MI 48236 Phone: 313-882-7900 |