Provider Demographics
NPI:1932108388
Name:SIL, RANAJIT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:RANAJIT
Middle Name:
Last Name:SIL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34815 W MICHIGAN AVE
Mailing Address - Street 2:STE C
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184-1799
Mailing Address - Country:US
Mailing Address - Phone:734-721-4739
Mailing Address - Fax:734-725-3194
Practice Address - Street 1:34815 W MICHIGAN AVE
Practice Address - Street 2:STE C
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1799
Practice Address - Country:US
Practice Address - Phone:734-721-4739
Practice Address - Fax:734-725-3194
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0471962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI08233512131Medicare ID - Type Unspecified
E21668Medicare UPIN
E21668Medicare UPIN