Joash Ajay Raj, MD | |
3152 Port Sheldon St, Suite C, Hudsonville, MI 49426-9297 | |
(616) 669-9238 | |
Not Available |
Full Name | Joash Ajay Raj |
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Gender | Male |
Speciality | Pediatrics |
Location | 3152 Port Sheldon St, Hudsonville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487642021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301080648 (Michigan) | Primary |
Entity Name | Spectrum Health Primary Care Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
Mailing Address | Practice Location Address |
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Joash Ajay Raj, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Joash Ajay Raj, MD 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426-9297 Ph: (616) 669-9238 |
Kurt Meppelink, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 | |
Leah Ballantyne Peirce, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238 | |
Kelly B Huggett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Suite C, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296 | |
Caitlin Mlynarek, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3912 32nd Ave, Hudsonville, MI 49426 Phone: 616-252-8700 Fax: 616-252-8750 | |
Dr. Kimberly Bain Mitcham, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St Ste C, Hudsonville, MI 49426 Phone: 616-669-9238 | |
Ruel Lirio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3152 Port Sheldon St, Hudsonville, MI 49426 Phone: 616-669-9238 Fax: 616-669-8296 |