Individual
JONATHAN JIVIN DANARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OP60625470
WA
207RP1001X
Pulmonary Disease Physician
Primary
OP60625470
WA
207RP1001X
Pulmonary Disease Physician
OS12185
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2010
Last updated
06/14/2016
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