Jothikumar, Thankarajam

Jothikumar, Thankarajam is an individual health care provider with primary practice located at 1535 N China Lake Blvd Ste A , Ridgecrest CA 93555-2667. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jothikumar, Thankarajam can be contacted via phone (760) 446-1691.

Contact Information

Primary practice address
1535 N China Lake Blvd Ste A Ridgecrest CA 93555-2667
Phone: (760) 446-1691
Fax: (760) 446-1642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A31143 California

Profile Details

NPI number 1417962291
LBN Legal business name Jothikumar, Thankarajam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated May 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417962291 NPPES
California Other A31143 CA LICENSE

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