Individual
DR. SULAGSHAN MAHENDRARAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 MEDICAL CENTER DRIVE, SUITE 201, MEDFORD, OR 97504-4334
(541) 789-5790
(541) 789-5711
Mailing address
1050 WITTENBURGH APT 2408, KYLE, TX 78640-2692
(319) 383-1834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-9294
IA
2084N0400X
Neurology Physician
M-17549
ID
2084N0400X
Neurology Physician
MD170301
OR
2084N0400X
Neurology Physician
Primary
T2672
TX
Other
Enumeration date
07/12/2011
Last updated
11/08/2023
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