Individual provider Active NPI

S Raja Sekharan, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Bloomfield Hills, MI
National Provider Identifier
1033439807
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
4301031717 Issued in MI
Practice address
1950 Tiverton Rd
Bloomfield Hills, MI 48304-2347
Phone
(248) 644-6863
Fax
(248) 644-6863
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 4301031717 MI Primary

Addresses

Primary practice location

1950 Tiverton Rd
Bloomfield Hills, MI 48304-2347

Mailing address

1950 Tiverton Rd
Bloomfield Hills, MI 48304-2347
Phone (248) 644-6863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1033439807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 TIVERTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042347",
            "telephone_number": "248-644-6863",
            "fax_number": "248-644-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 TIVERTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042347",
            "telephone_number": "248-644-6863",
            "fax_number": "248-644-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEKHARAN",
        "first_name": "S",
        "middle_name": "RAJA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301031717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.