Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD463248 | PA |
Y | 207YP0228X | Pediatric Otolaryngology | MD463248 | PA |
NPI | 1922218999 |
---|---|
Provider Name | Roy Rajan |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 26/02/2019 |