Rajan, Jessen A

Rajan, Jessen A is an individual health care provider with primary practice located at 11104 W Airport Blvd Ste 117 , Stafford TX 77477-3043. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rajan, Jessen A can be contacted via phone (832) 405-9984.

Contact Information

Primary practice address
11104 W Airport Blvd Ste 117 Stafford TX 77477-3043
Phone: (832) 405-9984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X P4698 Texas

Profile Details

NPI number 1033402631
LBN Legal business name Rajan, Jessen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2011
Last updated Apr 14th, 2022 - about 3 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 1033402631 NPPES
Texas MEDICAID 338010701
Texas Other 8EK656
Texas Other 8FT444

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