Organization Active NPI

Tushar N Raiji MD PC

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1629220231
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301035669 Issued in MI
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

Updated by the provider on Jan 15, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1102514291OtherMIBCBSM/BLUE CARE NETWORK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.