Individual
VINUTHA RAJESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11234 ANDERSON ST SPC 1637, LOMA LINDA, CA 92354-2804
(909) 558-4756
Mailing address
11234 ANDERSON ST SPC 1637, LOMA LINDA, CA 92354-2804
(909) 558-4756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242393
MA
207RC0000X
Cardiovascular Disease Physician
Primary
50678
AZ
208M00000X
Hospitalist Physician
242393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085392A
—
MA
Enumeration date
04/24/2007
Last updated
03/29/2017
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