Rajan Ravikumar, M.D.
Allergy & Immunology in Brighton, MI. Individual provider (NPI-1).
NPI number1790734564
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1790734564
- Entity type
- Individual (NPI-1)
- Name
- Rajan Ravikumar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 9, 2006
- Last updated
- Feb 8, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ALLERGY/IMMUNOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 4301076537 | MI | Yes |
| 207K00000X | Allergy & Immunology | MD428811 | PA | |
| 207R00000X | Internal Medicine | 4301076537 | MI |
Practice location
7500 Challis Rd2nd Floor
Brighton, MI 48116-9416
Phone 734-647-5940
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Allergy & Immunology Physician providers in Brighton · All 1,849 providers in Brighton
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