Individual
ISHITHA RAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
81 WILLOUGHBY ST, BROOKLYN, NY 11201-5291
(508) 314-6727
Mailing address
81 WILLOUGHBY ST, BROOKLYN, NY 11201-5291
(508) 314-6727
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95027803
CA
Other
Enumeration date
10/27/2023
Last updated
04/30/2026
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