Individual
RAJARATNAM SKANTHARAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 OAKDALE RD, SUITE 218, MODESTO, CA 95355-3381
(209) 572-4222
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C54594
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0065489
MD
Other
Enumeration date
05/02/2007
Last updated
03/31/2014
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