Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 4301045264 | MI |
N | 2084N0402X | Child Neurologist | 4301045264 | MI |
NPI | 1205984457 |
---|---|
Provider Name | Dr. Ramesh Lakhamshi Chheda |
First Address | Flint, MI 48507-1065 |
Second Address | Flint, MI 48507-1065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 30/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1867240 10 | (05) | MI |
3502502562 | BLUE CROSS BLUE SHIELD (01) | MI |
382777512 | TAX ID (01) | MI |
4301045264 | STATE LICENSE (01) | MI |
B45420 | (02) | MI |