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 |
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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 |
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Provider Enumeration Date | 10/15/2007 |
Last Update Date | 10/15/2007 |
Medicare PECOS PAC ID | 4082605308 |
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Medicare Enrollment ID | O20040524000917 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255520300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Raja E Lewis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558479469 PECOS PAC ID: 1658362975 Enrollment ID: I20040527000628 |
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