=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801431960
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DHARMA PSYCHIATRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/13/2019
-----------------------------------------------------
Last Update Date | 11/13/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 326 E WASHINGTON ST
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48104-2010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-203-0117
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 326 E WASHINGTON ST
-----------------------------------------------------
City | ANN ARBOR
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48104-2010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 734-203-0117
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND PSYCHIATRIST
-----------------------------------------------------
Name | HARINDER RAI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 586-610-6578
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------