B.p. Rajesh, Md, Pllc | |
306 Elm Street Suite B Saint Johns MI 48879-2068 | |
(989) 224-2100 | |
(989) 224-0784 |
Full Name | B.p. Rajesh, Md, Pllc |
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Speciality | Clinic/Center |
Location | 306 Elm Street, Saint Johns, Michigan |
Authorized Official Name and Position | Jane E Snyder (OFFICE MANAGER) |
Authorized Official Contact | 9892242100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B.p. Rajesh, Md, Pllc 306 E Elm St Suite B Saint Johns MI 48879-2336 Ph: (989) 224-2100 | B.p. Rajesh, Md, Pllc 306 Elm Street Suite B Saint Johns MI 48879-2068 Ph: (989) 224-2100 |
NPI Number | 1851584585 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 02/22/2008 |
Medicare PECOS PAC ID | 2961301940 |
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Medicare Enrollment ID | O20040108000326 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851584585 | NPI | - | NPPES |
4575965 | Medicaid | MI | |
11-0-A9-1027-0 | Other | MI | BCBS OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4301060307 (Michigan) | Primary |
Provider Name | Brahmaiah Parswanath Rajesh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225146046 PECOS PAC ID: 3375442353 Enrollment ID: I20040202000323 |
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