Dr P G Rajan,MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A30073 Issued in CA

Legal business name

DR P G RAJAN,MD INC

Practice address

1711 W Romneya Dr
Anaheim, CA 92801-1804

Phone

(714) 832-7642

Fax

(714) 832-7308

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gail Frances Kuhn

Title

A/R Manager

Phone

(714) 832-7642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• parthasarathy govindarajan,md Other name

Locations

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1700903564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-491-3900",
            "fax_number": "714-491-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W ROMNEYA DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011804",
            "telephone_number": "714-832-7642",
            "fax_number": "714-832-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR P G RAJAN,MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "714-832-7642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A30073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A300730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "parthasarathy govindarajan,md",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in Anaheim, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.