Mallika S Rajendran

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036071407 Issued in IL

Practice address

2040 Ogden Ave Ste 401
Aurora, IL 60504-7208

Phone

(630) 585-7100

Fax

(630) 907-3969

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861482473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066222",
            "telephone_number": "630-585-7100",
            "fax_number": "630-907-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE STE 401",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047208",
            "telephone_number": "630-585-7100",
            "fax_number": "630-907-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Hobson Rd",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605408139",
            "country_code": "US",
            "telephone_number": "630-416-3300",
            "fax_number": "630-646-5648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "MALLIKA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036071407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071407 5",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed A Raheem, MD
• Tariq Rahim, M.D.
• Uroob Rahman
• Kumar B. Raigaga, D.P.M.
• Ananya Sri Ram Rajan, LPC, NCC
• Tara Viswambharan Rajesh, M.D.
• Tharani Rajeswaran, M.D.
• Arvind Ramakrishnan, BCBA
• Swapna Kolipaka Ramaraju, PT
• Ednesha Ramey, NP

• Obstetrics & Gynecology Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.