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 |
Entity Name | Mclaren Flint |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275807372 PECOS PAC ID: 8628975497 Enrollment ID: O20120620000454 |
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 |
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 |