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NPI Code Detail

MEDICARE: ARATHI RAJENDRAN GOLDSMITH DO

MEDICARE: ARATHI RAJENDRAN GOLDSMITH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianAG018507MI

General Provider Information

NPI Number : 1437387404
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARATHI RAJENDRAN GOLDSMITH DO
Provider Business Mailing Address
First Line : 835 MASON ST
Second Line : SUITE C200
City : DEARBORN
State : MI
Zip : 48124
Country : US
Telephone Number : 313-274-5810
Fax Number : 313-274-1499
Provider Business Practice Location Address
First Line : 835 MASON ST STE C200
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2231
Country : US
Telephone Number : 313-274-5810
Fax Number : 313-274-1499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 03/17/2018

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