Thirumalai Sundara-Rajan, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50002154 Issued in OH

Practice address

22175 Rye Rd
Shaker Heights, OH 44122-3037

Phone

(216) 295-0047

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356411102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22175 RYE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223037",
            "telephone_number": "216-295-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22175 RYE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441223037",
            "telephone_number": "216-295-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARA-RAJAN",
        "first_name": "THIRUMALAI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Studly
• Madeline Rogers Stull, MD
• Suburban Home Healthcare
• Agape Suliman Newkirk
• Marc Sullivan
• Susan Sunny
• Encie Jonas Super, C.C.C.
• Clifton Randolph Sweeney II, QMHS
• Garry Charles Swift, LSW
• John Tyler Taggart, QMHS

• Physician Assistant in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.