# AMARABALAN RAJENDRAN, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215482625
- **Authorized official:** DR. AMARABALAN RAJENDRAN M.D (CEO)
- **Authorized official phone:** (516) 301-8155

## Contact information

- **Practice address:** 3 CENTRAL PLZ \# 353, ROME, GA 30161-3233
- **Practice address phone:** (516) 301-8155
- **Practice address fax:** (404) 393-5986
- **Mailing address:** 3 CENTRAL PLZ \# 353, ROME, GA 30161-3233
- **Mailing address phone:** (516) 301-8155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2016
- **Last updated:** 06/10/2020