Active NPI
Tushar N Raiji MD PC
- Internal Medicine Physician
- Flint, MI
National Provider Identifier
1629220231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301035669
- Legal business name
- TUSHAR N RAIJI MD PC
- Practice address
- 6203 Covered Wagons TRL
Flint, MI 48532-2170 - Phone
- (810) 720-5715
- Fax
- (810) 732-0891
- NPI assigned
- Oct 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tushar N Raiji, MD
- Title
- Owner
- Phone
- (810) 720-5715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301035669 | MI | Primary |
Addresses
Primary practice location
6203 Covered Wagons TRL
Flint, MI 48532-2170
Mailing address
PO Box 44047
Detroit, MI 48244-0047
Phone (810) 720-5715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102514291 | Other | MI | BCBSM/BLUE CARE NETWORK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231977600000",
"number": "1629220231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44047",
"city": "DETROIT",
"state": "MI",
"postal_code": "482440047",
"telephone_number": "810-720-5715",
"fax_number": "810-732-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 COVERED WAGONS TRL",
"city": "FLINT",
"state": "MI",
"postal_code": "485322170",
"telephone_number": "810-720-5715",
"fax_number": "810-732-0891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSHAR N RAIJI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-14",
"last_updated": "2009-01-15",
"status": "A",
"authorized_official_last_name": "RAIJI",
"authorized_official_first_name": "TUSHAR",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "810-720-5715",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301035669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BLUE CARE NETWORK",
"identifier": "1102514291",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.