Individual
PHILLIP THOMAS RAJADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S MCCULLOCH BLVD, PUEBLO WEST, CO 81007-2892
(719) 561-5377
(719) 561-5378
Mailing address
PO BOX 8867, PUEBLO, CO 81008-8867
(719) 561-5377
(719) 561-5378
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39112
CO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
04-31652
KS
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
39112
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13777777
—
CO
05
—
200362640A
—
KS
01
—
P00281502
RR MEDICARE
CO
Enumeration date
08/15/2005
Last updated
08/06/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us