Rajaratnam Skantharaja
Cardiothoracic Vascular Surgeon
1501 Oakdale Rd Suite 218
Modesto
, California 95355-3381
Rajaratnam Skantharaja
Cardiothoracic Vascular Surgeon
1501 Oakdale Rd Suite 218
Modesto
, California 95355-3381
(209) 521-6097
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Rajaratnam Skantharaja
- 600 Coffee Rd
- Modesto, CA
- Zip : 95355-4201
- Phone : (209) 521-6097
Second Address
- Rajaratnam Skantharaja
- 1501 Oakdale Rd Suite 218
- Modesto, CA
- Zip : 95355-3381
- Phone : (209) 572-4222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | C54594 | CA |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | D0065489 | MD |
National Provider Identifier
| NPI | 1154542298 |
|---|---|
| Provider Name | Rajaratnam Skantharaja |
| First Address | Modesto, CA 95355-4201 |
| Second Address | Modesto, CA 95355-3381 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2007 |
| Last Update Date | 31/03/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.