Healthcare Provider Details

I. General information

NPI: 1316876014
Provider Name (Legal Business Name): SURAJ CHANDRASHEKHAR KARANJE MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

IV. Provider business mailing address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-3895
  • Fax:
Mailing address:
  • Phone: 517-364-3895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4351056123
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: