Provider Demographics
NPI:1396122792
Name:MUNIAN GOVINDAN, RAJKUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:RAJKUMAR
Middle Name:
Last Name:MUNIAN GOVINDAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1772 KIRTS BLVD
Mailing Address - Street 2:APT 212
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4341
Mailing Address - Country:US
Mailing Address - Phone:248-274-2434
Mailing Address - Fax:
Practice Address - Street 1:3901 BEAUBIEN ST
Practice Address - Street 2:CHILDREN'S HOSPITAL OF MICHIGAN
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2119
Practice Address - Country:US
Practice Address - Phone:313-966-5201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program