Santosh Rastogi Md Pc | |
837 Jordan Dr Troy MI 48098-5627 | |
(248) 891-3123 | |
(248) 828-9712 |
Full Name | Santosh Rastogi Md Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 837 Jordan Dr, Troy, Michigan |
Authorized Official Name and Position | Santosh Rastogi (DOCTOR) |
Authorized Official Contact | 2488913123 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Santosh Rastogi Md Pc 837 Jordan Dr Troy MI 48098-5627 Ph: (248) 891-3123 | Santosh Rastogi Md Pc 837 Jordan Dr Troy MI 48098-5627 Ph: (248) 891-3123 |
NPI Number | 1639443591 |
---|---|
Provider Enumeration Date | 02/23/2012 |
Last Update Date | 02/29/2012 |
Medicare PECOS PAC ID | 1557522414 |
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Medicare Enrollment ID | O20120419000759 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639443591 | NPI | - | NPPES |
260636811 | Other | BLUE CROSS | |
3015553 | Medicaid | MI | |
1093711459 | Other | NPI-CCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | SR349068 (Michigan) | Primary |
Provider Name | Santosh K Rastogi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043327117 PECOS PAC ID: 2860570165 Enrollment ID: I20080428000484 |
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