Healthcare Provider Details

I. General information

NPI: 1457934218
Provider Name (Legal Business Name): CHRISTINA RAGHUNANDAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N BROADWAY
BALTIMORE MD
21205-1888
US

IV. Provider business mailing address

1500 E. MEDICAL CENTER DRIVE
ANN ARBOR MI
48109
US

V. Phone/Fax

Practice location:
  • Phone: 443-923-1870
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD0108002
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0108002
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: