Individual
VIKRAM RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 20TH ST STE 590, SANTA MONICA, CA 90404-2054
(310) 315-0101
(310) 453-4145
Mailing address
1301 20TH ST STE 590, SANTA MONICA, CA 90404-2054
(310) 315-0101
(310) 453-4145
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A79289
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
A79289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952976030
GROUP TAX IDENTIFICATION
CA
Enumeration date
05/22/2007
Last updated
02/16/2010
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