Natarajan, Rajamanickam

Natarajan, Rajamanickam is an individual health care provider with primary practice located at 700 E Broad St , Hazleton PA 18201-6835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Natarajan, Rajamanickam can be contacted via phone (570) 574-9736.

Contact Information

Primary practice address
700 E Broad St Hazleton PA 18201-6835
Phone: (570) 574-9736
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD070171 Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD070171L Pennsylvania

Profile Details

NPI number 1609878479
LBN Legal business name Natarajan, Rajamanickam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Feb 17th, 2016 - about 8 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 1609878479 NPPES
Pennsylvania MEDICAID 1796069

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