Individual
RAJSEKHAR DEVINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9407
(814) 534-5059
Mailing address
1086 FRANKLIN ST, M7, JOHNSTOWN, PA 15905-4305
(814) 534-9407
(814) 534-5059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD038892E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011096970002
—
PA
Enumeration date
09/19/2005
Last updated
06/22/2015
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