| Doctor Name: | DR. RAJAN SESHADRI KRISHNAN |
| NPI Number: | 1548232788 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M D |
| License Number: | RK031968 |
| Business Practice Address: | 44405 Woodward Ave Alice Gustafson Center Ste 202 Pontiac, MI - 483415023 |
| Business Phone Number: | 2848582270 |
| Business Fax Number: | 2483356171 |
| Mailing Address: | 22301 Foster Winter Dr, Suite 200 SOUTHFIELD |
| State: | MI |
| Postal Code: | 480753707 |
| Phone Number: | 2485520620 |
| Fax Number: | 2485520286 |
| NPI Enumeration Date: | 02/02/2006 |
| NPI Last Update Date: | 02/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | RK031968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |