DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1144269432

NPI Code Detail

MEDICARE: RAJEEV DEVESHWAR M.D.

MEDICARE: RAJEEV DEVESHWAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	036100789	IL
2	2085R0202X	Diagnostic Radiology Physician	036100789	IL
3	2085R0204X	Vascular & Interventional Radiology Physician	036100789	IL
4	2084V0102X	Vascular Neurology Physician	4301053380	MI
5	2085R0204X	Vascular & Interventional Radiology Physician	4301053380	MI
6	2085R0202X	Diagnostic Radiology Physician	4301053380	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CA4748	OTHER		MEDICARE RAILROAD (GROUP)
2	206147	OTHER		MEDICARE PTAN (GROUP)
3	P00904920	OTHER		MEDICARE RAILROAD (INDIVIDUAL)
4	206147039	OTHER		MEDICARE PTAN (INDIVIDUAL)

General Provider Information

NPI Number	:	1144269432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJEEV DEVESHWAR M.D.

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE
Second Line	:	MC845
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:	616-486-6790
Fax Number	:	616-486-6702

Provider Business Practice Location Address
First Line	:	25 MICHIGAN ST NE STE 6100
Second Line	:	SPECTRUM HEALTH MEDICAL GROUP NEUROVASCULAR/STROKE OFFI
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2561
Country	:	US
Telephone Number	:	616-267-7900
Fax Number	:	616-267-7901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/08/2015

Similar Medicare Providers

1457934424 — EMMANUEL JOHN BART-PLANGE IV PA
Practice Location Address:

25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-267-7900
Practice Fax:

1396715199 — BRENT OPTICAL
Practice Location Address:

25 MICHIGAN ST NE , SUITE 1000
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-458-1951
Practice Fax: 616-458-2089

1952723892 — MS. OLIVIA LEE RIVERA PA-C
Practice Location Address:

25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-267-7900
Practice Fax:

1073996120 — MALGORZATA MARIA MILLER M.D.
Practice Location Address:

25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-267-7900
Practice Fax:

1821440728 — AUBREY MICHELE BRANNICK FNP-BC
Practice Location Address:

25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-267-7900
Practice Fax:

1770088171 — NINA SHANK MD
Practice Location Address:

25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI
49503-2561

Practice Phone: 616-267-7900
Practice Fax: 616-267-7901

Directions to “ RAJEEV DEVESHWAR M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.