Individual
DR. DHIRAJ JEYANANDARAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7545 IRVINE CENTER DR, 200, IRVINE, CA 92618-2932
(805) 928-1731
(805) 349-8160
Mailing address
11121 SUN CENTER DR, STE G, RANCHO CORDOVA, CA 95670-6199
(916) 631-0112
(916) 631-1652
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
45960
CT
2084N0400X
Neurology Physician
Primary
A91259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A912590
BLUE CROSS BLUE SHIELD
CA
Enumeration date
04/18/2007
Last updated
10/13/2016
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