RAJI GEORGE NPI 1215590674

NPI Information

NPI: 1215590674
Provider Name: RAJI GEORGE
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
4160 JOHN R ST STE 925
DETROIT, MI
ZIP 48201
Phone: (313) 745-7247
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Raji George is an acute care nurse practitioner in Detroit, MI. Raji George NPI is 1215590674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4160 JOHN R ST STE 925
DETROIT, MI
ZIP 48201-017
Phone: (313) 745-7247

The NPI 1215590674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2019 and was last updated on 9/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	4704252880	MICHIGAN	No
2	363L00000X	Nurse Practitioner		4704252880	MICHIGAN	No
3	363LA2100X	Nurse Practitioner	Acute Care	4704252880	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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