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Individual

MAYURESH RAJARATNAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
929 CENTRAL AVE NW, EAST GRAND FORKS, MN 56721-1917
(218) 773-6800
(218) 773-6861
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17087
ND
207Q00000X
Family Medicine Physician
RL14662
ND

Other

Enumeration date
06/14/2017
Last updated
04/26/2024
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