Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125060464 | IL |
N | 111NI0900X | Internist | 125060464 | IL |
Y | 207RN0300X | Nephrologist | 18268 | NH |
NPI | 1053680900 |
---|---|
Provider Name | Dr. Roy Rajan |
First Address | Keene, NH 03431 |
Second Address | Keene, NH 03431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2011 |
Last Update Date | 13/08/2021 |