Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 0101241009 | VA |
NPI | 1083920821 |
---|---|
Provider Name | Dr. Rallis Rajan |
First Address | Cleveland, OH 44114-1153 |
Second Address | Cleveland Heights, OH 44118-1533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2010 |
Last Update Date | 30/08/2010 |