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Organization
R. S. RAJAH, M.D., INC.
Active
Organization
R. S. RAJAH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RATNASOTHY S RAJAH M.D. (OWNER)
(510) 895-9721
Entity
Organization
Contact information
Practice address
13847 E 14TH ST, SUITE 112, SAN LEANDRO, CA 94578-2632
(510) 895-9721
(510) 895-5283
Mailing address
13847 E 14TH ST, SUITE 112, SAN LEANDRO, CA 94578-2632
(510) 895-9721
(510) 895-5283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A29661020
—
CA
Enumeration date
10/31/2006
Last updated
08/22/2020
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