RAKA MAHAJAN (NPI# 1134192560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134192560 |
| Entity Type | Individual |
| Full Name | RAKA MAHAJAN |
| Credential | M.D. |
| Practice Address |
23500 Park St Suite 3 Dearborn MI 48124-2598 |
| Practice Telephone | 3132923500 |
| Practice Fax Number | 3132923503 |
| Mailing Telephone | 3132923500 |
| Mailing Fax Number | 3132923503 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
RM043153 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAPE HEALTH | 000000003118 | 01 |
| MN | TRAVELERS MEDICARE | 110167981 | 01 |
| MI | 1566855 | 05 | |
| MI | MIDWEST HEALTH | 019394 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1108224641 | 01 |
| MI | MCARE | C3278 | 01 |
| Street Address |
23500 PARK ST SUITE 3 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770704454 | Louis Alfred Petrucco | Internal Medicine | 9966 Hawthorne Glen Dr, Grosse Ile, MI 48138-2100 | 2007-05-01 |
| 1386712578 | Gursharanjit Singh Dhillon | Internal Medicine | 130 Hampton Cir, Suite 150, Rochester Hills, MI 48307-4195 | 2006-12-04 |
| 1750335378 | Peter Mike Ranta | Internal Medicine | 309 W 12th Ave, Suite 101, Sault Sainte Marie, MI 49783-2885 | 2006-05-19 |
| 1184684847 | Michael S Rowe | Internal Medicine | 24120 Meadowbrook Rd, Ste 201, Novi, MI 48375-3407 | 2006-03-27 |
| 1124018296 | Jane E Krasnick | Internal Medicine | 37130 Hoover Rd, Suite A, Warren, MI 48093 | 2005-10-28 |
| 1831681113 | Tina Abraham Do Pllc | Internal Medicine | 75 Barclay Cir Ste 205, Rochester Hills, MI 48307-5821 | 2018-06-03 |
| 1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
| 1043538549 | Jeffrey Tulin Silver Md PC | Internal Medicine | 6330 Orchard Lake Rd, Suite 110, West Bloomfield, MI 48322-2398 | 2010-05-07 |
| 1912189457 | Great Lakes Allergy and Asthma Center, P.C. | Internal Medicine | 309 W 12th Ave, Suite 101, Sault Sainte Marie, MI 49783-2885 | 2007-11-27 |
| 1134297674 | Edward M. Zoratti | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
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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.