Active NPI
Soundar Rajan, MD FACP
- Hematology & Oncology Physician
- Portsmouth, VA
National Provider Identifier
1396851390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 0101043759
- Practice address
- 664 Lincoln St
Portsmouth, VA 23704-4818 - Phone
- (757) 397-6363
- Fax
- (757) 393-1336
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101043759 | VA | Primary |
Addresses
Primary practice location
664 Lincoln St
Portsmouth, VA 23704-4818
Mailing address
664 Lincoln St
Portsmouth, VA 23704-4818
Phone (757) 393-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6026346 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1396851390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 LINCOLN ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237044818",
"telephone_number": "757-393-6363",
"fax_number": "757-393-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 LINCOLN ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237044818",
"telephone_number": "757-397-6363",
"fax_number": "757-393-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "SOUNDAR",
"credential": "MD FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101043759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6026346",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
- Cheyenne Rahn, DO
- Rai Care Centers of Virginia I, LLC (Rai - Churchland - Chesapeake)
- Rai Care Centers of Virginia I, LLC (Rai Goode Way Portsmouth)
- Rai Care Centers of Virginia I, LLC (Rai - Airline - Portsmouth)
- Thevarajani Rajakumar, MD
- Alexander Ram, DO
- Lolita Maranan Ramos, M.D.
- Kristina Lynette Ramsey, OD
- Craig Randall, M.D.
- Brittny Randolph, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.