Active NPI
Raka Mahajan, M.D.
- Allergy & Immunology (Internal Medicine) Physician
- Dearborn, MI
National Provider Identifier
1134192560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- RM043153
- Practice address
- 23500 Park St
Suite 3
Dearborn, MI 48124-2598 - Phone
- (313) 292-3500
- Fax
- (313) 292-3503
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | RM043153 | MI | Primary |
Addresses
Primary practice location
23500 Park St
Suite 3
Dearborn, MI 48124-2598
Mailing address
23500 Park St
Suite 3
Dearborn, MI 48124-2598
Phone (313) 292-3500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108224641 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1566855 | Medicaid | MI | |
| 019394 | Other | MI | MIDWEST HEALTH |
| 110167981 | Other | MN | TRAVELERS MEDICARE |
| C3278 | Other | MI | MCARE |
| 000000003118 | Other | MI | CAPE HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM043153 | MI | MD | Allergy & Immunology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395100800000",
"number": "1134192560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23500 PARK ST",
"address_2": "SUITE 3",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242598",
"telephone_number": "313-292-3500",
"fax_number": "313-292-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23500 PARK ST",
"address_2": "SUITE 3",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242598",
"telephone_number": "313-292-3500",
"fax_number": "313-292-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAJAN",
"first_name": "RAKA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2014-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "MI",
"license": "RM043153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1108224641",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1566855",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH",
"identifier": "019394",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "110167981",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C3278",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH",
"identifier": "000000003118",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.