Organization
SEMUR P. RAJAN, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEMUR P. RAJAN M.D. (PRESIDENT)
(419) 756-1230
Entity
Organization
Contact information
Practice address
275 CLINE AVE, MANSFIELD, OH 44907-1019
(419) 756-1230
(419) 756-8654
Mailing address
275 CLINE AVE, MANSFIELD, OH 44907-1019
(419) 756-1230
(419) 756-8654
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35033496R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000181984
—
OH
01
—
000000389423
ANTHEM BLUE CROSS
OH
05
—
0166252
—
OH
01
—
30242517700
WORKER'S COMP
OH
01
—
302425177005
MEDICAL MUTUAL
OH
01
—
733669
BUCKEYE COMMUNITY HEALTH
OH
01
—
DE5301
MEDICARE RAILROAD
OH
Enumeration date
01/17/2007
Last updated
12/03/2009
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