KANTHI SANKAR RAJAN (NPI# 1104973916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104973916 |
| Entity Type | Individual |
| Full Name | KANTHI SANKAR RAJAN |
| Credential | M.D. |
| Practice Address |
131 Kercheval Ave Grosse Pointe Farms MI 48236-3629 |
| Mailing Address |
131 Kercheval Ave Suite 10 Grosse Pointe Farms MI 48236-3629 |
| Practice Telephone | 3138827900 |
| Practice Fax Number | 3136402253 |
| Mailing Telephone | 3138827900 |
| Mailing Fax Number | 3136402253 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301069868 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS-BLUE CROSS | 700H262280 | 01 | |
| MI | 427186110 | 05 | |
| CHAMPUS-CHAMPUS | KR069868 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | KR069868 | 01 |
| Street Address |
131 KERCHEVAL AVE |
| City | GROSSE POINTE FARMS |
| State | MI |
| Zip Code | 48236-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139502 | Susan Browne | Social Worker | 131 Kercheval Ave, Suite 305, Grosse Pointe Farms, MI 48236-3629 | 2005-07-28 |
| 1881220606 | Kimberly Snodgrass | Dietitian, Registered | 131 Kercheval Ave, Grosse Pointe Farms, MI 48236-3629 | 2020-03-13 |
| 1447617063 | Wynne Williams | Speech-Language Pathologist | 131 Kercheval Ave, Suite 75, Grosse Pointe Farms, MI 48236-3629 | 2016-01-27 |
| 1467867549 | Lindsay Bauman | Audiologist | 131 Kercheval Ave, Suite 350, Grosse Pointe Farms, MI 48236-3629 | 2014-06-26 |
| 1578856258 | Robert Papazian, Psy.d., P.C. | Psychologist | 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236-3629 | 2011-05-27 |
| 1932367109 | James D. Adamo, M.d., P.C. | Psychiatry & Neurology | 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236-3629 | 2008-05-23 |
| 1841458015 | Raul Guerrero, M.d., P.C. | Psychiatry & Neurology | 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236-3629 | 2008-05-23 |
| 1114185386 | Dan G Guyer, M.d., P.C. | Psychiatry & Neurology | 131 Kercheval Ave, Suite 390, Grosse Pointe Farms, MI 48236-3629 | 2008-05-23 |
| 1578762795 | Gertride Yvonne Kerns | Psychologist | 131 Kercheval Ave, Grosse Pointe Farms, MI 48236-3629 | 2007-07-17 |
| 1639228000 | Psychiatric Services of Grosse Pointe | Social Worker | 131 Kercheval Ave, 390, Grosse Pointe Farms, MI 48236-3629 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740547991 | Ashley Nicole Falco | Pediatrics | 131 Kercheval Ave Ste 10, Grosse Pointe Farms, MI 48236 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498946 | Positively Pediatrics Pllc | Pediatrics | 120 N Bridge St Ste D, Linden, MI 48451-8823 | 2020-08-19 |
| 1730708058 | Xuexin Lu | Pediatrics | 22101 Moross Rd Ste 80, Detroit, MI 48236-2148 | 2020-04-16 |
| 1083252324 | Faith Cares Inc | Pediatrics | 9633 Sil St, Taylor, MI 48180-3028 | 2019-12-17 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1528611175 | Emad Kassas | Pediatrics | 358 E Chicago St Ste C, Coldwater, MI 49036-2072 | 2019-07-23 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1811553597 | Emile Muallem | Pediatrics | 1500 E. Med. Ctr Dr, Ann Arbor, MI 48109-5718 | 2019-05-17 |
| 1215403597 | Mfed Mosely | Pediatrics | 21840 23rd Mile Road, Macomb Twnp, MI 48040-2496 | 2018-10-15 |
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1386139913 | Southfield Pediatrics Pllc | Pediatrics | 28500 Southfield Rd Ste 100, Lathrup Village, MI 48076-2722 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE FARMS |
| Zip Code | 48236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.