Raj, Ethiraj Govinda
Raj, Ethiraj Govinda is an sole proprietor health care provider with primary practice located at 1165 S Linden Rd , Flint MI 48532-3406. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Raj, Ethiraj Govinda can be contacted via phone (810) 732-5400.Contact Information
Primary practice address
1165 S Linden Rd
Flint MI 48532-3406
Phone: (810) 732-5400
Fax: (810) 733-1624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4301039365 | Michigan |
Profile Details
| NPI number | 1376532556 |
|---|---|
| LBN Legal business name | Raj, Ethiraj Govinda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Sep 29th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376532556 | NPPES |
| Michigan | Other | 1100482 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | ER039365 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | 0B51240, ER039365 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | C1855 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | 1010892 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | 0B51240 | HEALTH PLUS OF MICHIGAN |
| Michigan | Other | 1010892 | HEALTH PLUS OF MICHIGAN |
| Michigan | MEDICAID | 4591753 | HEALTH PLUS OF MICHIGAN |
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