| Chalakudy V. Ramakrishna, M.d., P. C. | |
|
17940 Farmington Rd Suite 230 Livonia MI 48152-4444 | |
| (734) 422-4748 | |
| Not Available |
| Full Name | Chalakudy V. Ramakrishna, M.d., P. C. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17940 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Chalakudy V. Ramakrishna (PRESIDENT/OWNER) |
| Authorized Official Contact | 7344424748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chalakudy V. Ramakrishna, M.d., P. C. 17940 Farmington Rd Suite 230 Livonia MI 48152-4444 Ph: (734) 422-4748 | Chalakudy V. Ramakrishna, M.d., P. C. 17940 Farmington Rd Suite 230 Livonia MI 48152-4444 Ph: (734) 422-4748 |
| NPI Number | 1568578193 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 09/18/2013 |
| Medicare PECOS PAC ID | 9638134950 |
|---|---|
| Medicare Enrollment ID | O20041129000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568578193 | NPI | - | NPPES |
| 2608244372 | Other | MI | BCBS # |
| 4639070 | Medicaid | MI | |
| 2609502402 | Other | MI | BCBS GROUP PIN |
| 260031606 | Other | MI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Chalakudy V Ramakrishna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295790442 PECOS PAC ID: 1052376274 Enrollment ID: I20041130000137 |
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