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Organization
VASUDEVAN RAJASENAN A PROFESSIONAL CORPORATION
Active
Organization
VASUDEVAN RAJASENAN A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASUDEVAN RAJASENAN MD (MEDICAL DOCTOR)
(724) 758-4850
Entity
Organization
Contact information
Practice address
300 LAWRENCE AVE, ELLWOOD CITY, PA 16117-1924
(724) 758-4850
(724) 758-7621
Mailing address
300 LAWRENCE AVE, ELLWOOD CITY, PA 16117-1924
(724) 758-4850
(724) 758-7621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD032865L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030835
HIGHMARK BCBS
PA
Enumeration date
11/01/2006
Last updated
02/28/2008
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