Individual
SRIRANGARAJAN RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1759 E VILLA DR, COTTONWOOD, AZ 86326-4681
(289) 235-8835
(289) 226-6411
Mailing address
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001-8759
(928) 226-6439
(928) 226-6411
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
55671
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
E-8258
AR
208M00000X
Hospitalist Physician
E8258
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053570085
—
IL
05
—
1053570085
—
MO
05
—
47064
—
AZ
01
—
Z222252
MEDICARE PIN
AZ
Enumeration date
06/05/2008
Last updated
04/23/2019
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