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Individual

MR. RAJENDRA K NIGAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1607 3RD ST., BEAVER, PA 15009
(724) 728-8411
(724) 728-8410
Mailing address
1607 3RD ST, BEAVER, PA 15009
(724) 728-8411
(724) 728-8410

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD040433E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036197
PTAN
PA
Enumeration date
09/21/2006
Last updated
10/19/2012
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