Dr P G Rajan MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

624800 Issued in HI

Legal business name

DR P G RAJAN MD INC

Practice address

75-5591 Palani Rd
Sre 2002
Kailua Kona, HI 96740-3631

Phone

(808) 887-0600

Fax

(808) 887-6699

NPI assigned

Dec 18, 2008

Organization subpart

Yes

Parent organization

DR P G RAJAN MD INCAs reported in NPPES

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

Authorized official

Name

Parthasarathy Govindarajan, MD

Title

Owner

Phone

(714) 832-7642

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Dr P G Rajanmd Inc

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1407092539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75- 5591 PALANI RD STE 2002",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967408409",
            "telephone_number": "808-887-0600",
            "fax_number": "808-887-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI RD",
            "address_2": "SRE 2002",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403631",
            "telephone_number": "808-887-0600",
            "fax_number": "808-887-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR P G RAJAN MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR P G RAJAN MD INC",
        "enumeration_date": "2008-12-18",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GOVINDARAJAN",
        "authorized_official_first_name": "PARTHASARATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-832-7642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "624800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A300730",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624800",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Gastroenterology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.