Raja, Manikanda G

Raja, Manikanda G is an sole proprietor health care provider with primary practice located at 1701 E Florida Ave , Hemet CA 92544-4632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Raja, Manikanda G can be contacted via phone (951) 658-4486.

Contact Information

Primary practice address
1701 E Florida Ave Hemet CA 92544-4632
Phone: (951) 658-4486
Fax: (951) 925-1026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A53777 California
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X A53777 California

Profile Details

NPI number 1730290321
LBN Legal business name Raja, Manikanda G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Aug 15th, 2012 - about 12 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 1730290321 NPPES
California MEDICAID 00A537770

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