Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5101015962 | MI |
N | 2081P2900X | Pain Medicine | 5101015962 | MI |
NPI | 1124142294 |
---|---|
Provider Name | Dr. Rishi Rai Bakshi |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48108-5744 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 04/06/2019 |