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RAATHATHULAKSI KRISHNAMOHAN
NPI 1992156418
Family Medicine in Southgate, MI

Active since June 27, 2016
13667 EUREKA RD, SOUTHGATE, MI 48195(734) 530-6777(734) 681-1156 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2020, Feb 14, 2018, Jun 27, 2016 (3 updates tracked since 2016).

About Raathathulaksi Krishnamohan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAATHATHULAKSI KRISHNAMOHAN (NPI 1992156418) is an individual family medicine provider in Southgate, Michigan, licensed in Michigan (4301109859) and active in the NPI registry since June 2016. She maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1992156418
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRAATHATHULAKSI KRISHNAMOHAN
Location Address13667 EUREKA RDSouthgate, MI 48195-1332
Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014
Phone(734) 530-6777
Fax(734) 681-1156
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateMay 15, 20203 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
✔ NPI 1992156418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301109859
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13667 EUREKA RD, Southgate, MI 48195
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Secondary Practice Location 1

Location 1401 S Ballenger HwyFlint, MI 48532-3638 · Phone (810) 342-5605

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET DIANE BARDEN APN-BC
Nurse Practitioner (Adult Health)
13667 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 530-6777
AZSHA WINN FNP
Nurse Practitioner (Family)
13667 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 530-6777
LEKEYSHA MARIE ROBINSON-ROYSTER M.D.
Family Medicine
13667 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 530-6777
MELISSA MATKOVICH
Social Worker
13667 EUREKA RD
SOUTHGATE, MI 48195
Wayne County (734) 530-6777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raathathulaksi Krishnamohan's NPI number?

The NPI number for Raathathulaksi Krishnamohan is 1992156418. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Raathathulaksi Krishnamohan located?

Raathathulaksi Krishnamohan practices at 13667 Eureka Rd, Southgate, MI 48195. The listed phone number is (734) 530-6777.

What is Raathathulaksi Krishnamohan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Raathathulaksi Krishnamohan was last updated on May 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.