| Raja Lewis MD PC | |
|
33164 Ryan Rd Sterling Heights MI 48310-6478 | |
| (586) 826-9625 | |
| Not Available |
| Full Name | Raja Lewis MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 33164 Ryan Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Raja Lewis (PRESIDENT) |
| Authorized Official Contact | 5868269625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raja Lewis MD PC 33164 Ryan Rd Sterling Heights MI 48310-6478 Ph: (586) 826-9625 | Raja Lewis MD PC 33164 Ryan Rd Sterling Heights MI 48310-6478 Ph: (586) 826-9625 |
| NPI Number | 1255520300 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 4082605308 |
|---|---|
| Medicare Enrollment ID | O20040524000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255520300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Raja E Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558479469 PECOS PAC ID: 1658362975 Enrollment ID: I20040527000628 |
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