Healthcare Provider Details

I. General information

NPI: 1073743670
Provider Name (Legal Business Name): ARATI KASHINATH KELEKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11885 E 12 MILE RD STE 100B
WARREN MI
48093-3465
US

IV. Provider business mailing address

11885 E 12 MILE RD STE 100B
WARREN MI
48093-3465
US

V. Phone/Fax

Practice location:
  • Phone: 586-751-7515
  • Fax:
Mailing address:
  • Phone: 586-751-7515
  • Fax: 586-751-1303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number4301094097
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301094097
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: