Individual
DR. ASHOK SUNDER RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S FAIR OAKS AVE STE 405, PASADENA, CA 91105-2562
(626) 794-7075
(626) 404-7545
Mailing address
301 S FAIR OAKS AVE STE 405, PASADENA, CA 91105-2562
(626) 794-7075
(626) 404-7545
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A41453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A414530
BLUE SHIELD PROVIDER #
CA
05
—
00A414530
—
CA
Enumeration date
07/01/2006
Last updated
03/06/2026
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