Individual
RAJESH MAKKENCHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 S WASHINGTON ST, 3RD FLOOR, SUITE C, GETTYSBURG, PA 17325-2500
(717) 334-8141
(717) 334-1885
Mailing address
4 BRIGADIER COURT, GETTYSBURG, PA 17325
(508) 612-8485
(717) 334-1885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD428731
PA
2086S0120X
Pediatric Surgery Physician
MD428731
PA
2086S0127X
Trauma Surgery Physician
MD428731
PA
2086X0206X
Surgical Oncology Physician
MD428731
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD428731
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101565162
—
PA
01
—
1551336
GATEWAY-WMG
PA
01
—
1840510
HIGHMARK BLUE SHIELD
PA
01
—
20072213
AMERIHEALTH MERCY-WMG
PA
01
—
211140
JOHNS HOPKINS
PA
01
—
232743
UNISON WMG
PA
01
—
50075821
CAPITAL BLUE CROSS WMG
PA
01
—
7842893
AETNA
PA
Enumeration date
03/22/2006
Last updated
07/21/2016
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