Healthcare Provider Details

I. General information

NPI: 1932302692
Provider Name (Legal Business Name): RAKESH N SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 E WARWICK DR
ALMA MI
48801-1011
US

IV. Provider business mailing address

1621 E BROOMFIELD ST STE C
MT PLEASANT MI
48858-5427
US

V. Phone/Fax

Practice location:
  • Phone: 989-463-4976
  • Fax: 989-463-2249
Mailing address:
  • Phone: 989-463-4976
  • Fax: 989-463-2249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301032524
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: