Individual
SOUNDAR RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 397-6363
(757) 393-1336
Mailing address
664 LINCOLN ST, PORTSMOUTH, VA 23704-4818
(757) 393-6363
(757) 393-1336
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101043759
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6026346
—
VA
Enumeration date
08/22/2006
Last updated
12/21/2010
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