Provider Demographics
NPI:1932519832
Name:AREKAPUDI, RAJESH
Entity Type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:AREKAPUDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41980 MANOR PARK DR
Mailing Address - Street 2:APT 122
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2775
Mailing Address - Country:US
Mailing Address - Phone:248-910-5157
Mailing Address - Fax:
Practice Address - Street 1:13000 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2200
Practice Address - Country:US
Practice Address - Phone:734-367-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020348461835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy