Rajadas, Phillip Thomas

Rajadas, Phillip Thomas is an individual health care provider with primary practice located at 201 S Mcculloch Blvd , Pueblo West CO 81007-2892. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Rajadas, Phillip Thomas can be contacted via phone (719) 561-5377.

Contact Information

Primary practice address
201 S Mcculloch Blvd Pueblo West CO 81007-2892
Phone: (719) 561-5377
Fax: (719) 561-5378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 39112 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 39112 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 04-31652 Kansas

Profile Details

NPI number 1346242872
LBN Legal business name Rajadas, Phillip Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 6th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346242872 NPPES
Colorado Other P00281502 RR MEDICARE
Colorado MEDICAID 200362640A RR MEDICARE
Colorado MEDICAID 13777777 RR MEDICARE

Popular Providers