Rajan, Sujatha
Rajan, Sujatha is an individual health care provider with primary practice located at 21414 Hillside Ave , Queens Village NY 11427-1808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rajan, Sujatha can be contacted via phone (718) 264-2700.Contact Information
Primary practice address
21414 Hillside Ave
Queens Village NY 11427-1808
Phone: (718) 264-2700
Fax: (718) 264-2702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 214749 | New York |
Profile Details
| NPI number | 1578593323 |
|---|---|
| LBN Legal business name | Rajan, Sujatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578593323 | NPPES |
| New York | Other | 07554G | MEDICARE - GHI |
| New York | MEDICAID | 02470428 | MEDICARE - GHI |
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