Provider Demographics
NPI:1033421706
Name:RAJ, NAVIN (MD)
Entity type:Individual
Prefix:
First Name:NAVIN
Middle Name:
Last Name:RAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5820 N CANTON CENTER RD STE 186
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2651
Mailing Address - Country:US
Mailing Address - Phone:734-720-0976
Mailing Address - Fax:734-201-1224
Practice Address - Street 1:5820 N CANTON CENTER RD STE 186
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2651
Practice Address - Country:US
Practice Address - Phone:734-720-0976
Practice Address - Fax:734-201-1224
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096426207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine