Rajesh Makkenchery
Surgeon Trauma Surgeon Pediatric Surgery Surgical Oncologist and 1 more
450 S Washington St 3rd Floor, Suite C
Gettysburg
, Pennsylvania 17325-2500
Rajesh Makkenchery
Surgeon Trauma Surgeon Pediatric Surgery Surgical Oncologist and 1 more
450 S Washington St 3rd Floor, Suite C
Gettysburg
, Pennsylvania 17325-2500
(717) 334-1885
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
- Trauma Surgeon
- Surgical Oncologist
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Rajesh Makkenchery
- 4 Brigadier Court
- Gettysburg, PA
- Zip : 17325
- Fax : (717) 334-1885
- Phone : (508) 612-8485
Second Address
- Rajesh Makkenchery
- 450 S Washington St 3rd Floor, Suite C
- Gettysburg, PA
- Zip : 17325-2500
- Fax : (717) 334-1885
- Phone : (717) 334-8141
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | MD428731 | PA |
| Y | 208600000X | Surgeon | MD428731 | PA |
| N | 2086S0120X | Pediatric Surgery | MD428731 | PA |
| N | 2086S0127X | Trauma Surgeon | MD428731 | PA |
| N | 2086X0206X | Surgical Oncologist | MD428731 | PA |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | MD428731 | PA |
National Provider Identifier
| NPI | 1104885748 |
|---|---|
| Provider Name | Rajesh Makkenchery |
| First Address | Gettysburg, PA 17325 |
| Second Address | Gettysburg, PA 17325-2500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2006 |
| Last Update Date | 21/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101565162 | (05) | PA |
| 1551336 | GATEWAY-WMG (01) | PA |
| 1840510 | HIGHMARK BLUE SHIELD (01) | PA |
| 20072213 | AMERIHEALTH MERCY-WMG (01) | PA |
| 211140 | JOHNS HOPKINS (01) | PA |
| 232743 | UNISON WMG (01) | PA |
| 50075821 | CAPITAL BLUE CROSS WMG (01) | PA |
| 7842893 | AETNA (01) | PA |
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.