Healthcare Provider Details

I. General information

NPI: 1285571414
Provider Name (Legal Business Name): AAKANSHA MARIA RAJEEV
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22201 MOROSS RD, SUITE 80
DETROIT MI
48236
US

IV. Provider business mailing address

22201 MOROSS RD, SUITE 80
DETROIT MI
48236
US

V. Phone/Fax

Practice location:
  • Phone: 313-342-3800
  • Fax: 313-343-4756
Mailing address:
  • Phone: 313-342-3800
  • Fax: 313-343-4756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: