Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 160910 | NY |
Y | 2086S0105X | Surgery of the Hand | 160910 | NY |
NPI | 1619915725 |
---|---|
Provider Name | Swaminathan Rajan |
First Address | Mahopac, NY 10541-3106 |
Second Address | Mahopac, NY 10541-3106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 30/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01037461 | (05) | NY |
A60670 | (02) | NY |