Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | MA068824 | NJ |
NPI | 1033209333 |
---|---|
Provider Name | Dr. Sri Sujanthy Rajaram |
First Address | East Windsor, NJ 08512-2901 |
Second Address | East Windsor, NJ 08512-2901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 09/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010007758 | AMERICHOICE (01) | |
1092950 | AETNA (01) | |
2173808 | UNITED HEALTHCARE (01) | |
2291751000 | AMERIHEALTH, KEYSTONE IBC (01) | |
2309544 | CIGNA (01) | |
37352 | UNIVERSITY HEALTHPLAN (01) | |
3K6051 | HEALTHNET (01) | |
60019894 | HORIZON NJ HEALTH (01) | |
8025207 | (05) | NJ |
H04764 | (02) | |
P00274023 | RR MEDICARE (01) | |
P3652631 | OXFORD (01) |