Individual
DR. SUBHA RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1835
(641) 872-2063
(641) 872-2070
Mailing address
417 S EAST ST, CORYDON, IA 50060-1835
(641) 872-2063
(641) 872-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57389
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450030802
MEDICARE PTAN
WI
01
—
711290198
MEDICARE PTAN
WI
Enumeration date
04/16/2008
Last updated
02/17/2026
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