Provider Demographics
NPI:1508915968
Name:NATARAJAN, RAJASHREE (AUD CCC-A)
Entity Type:Individual
Prefix:MS
First Name:RAJASHREE
Middle Name:
Last Name:NATARAJAN
Suffix:
Gender:F
Credentials:AUD CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47480 CHELTENHAM DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48374-3685
Mailing Address - Country:US
Mailing Address - Phone:248-449-6522
Mailing Address - Fax:888-779-4701
Practice Address - Street 1:25426 GODDARD RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6200
Practice Address - Country:US
Practice Address - Phone:313-295-4710
Practice Address - Fax:313-295-4713
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000395231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F32784OtherBCBS OF MICHIGAN
MI143411OtherCARE CHOICES
MI383611756OtherPPOM
MI383611756OtherTOTAL HEALTH CARE
MI383611756OtherTOTAL HEALTH CARE
MI$$$$$$$$$OtherUNITED HEALTH CARE