Provider Demographics
NPI:1396776860
Name:SATYADEV, RANJINI (MD)
Entity type:Individual
Prefix:DR
First Name:RANJINI
Middle Name:
Last Name:SATYADEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WINDWARD PL
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE FARMS
Mailing Address - State:MI
Mailing Address - Zip Code:48236-3780
Mailing Address - Country:US
Mailing Address - Phone:734-464-4138
Mailing Address - Fax:734-293-5379
Practice Address - Street 1:14555 LEVAN RD.
Practice Address - Street 2:#314
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1243
Practice Address - Country:US
Practice Address - Phone:734-464-4138
Practice Address - Fax:734-293-5379
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062043208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P18130Medicare PIN
MIG81122Medicare UPIN
MI348764310Medicaid