Individual
CHALAT RAJARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14901 FOXCROFT RD, TUSTIN, CA 92780-6726
(714) 547-3346
(714) 547-3252
Mailing address
14901 FOXCROFT RD, TUSTIN, CA 92780-6726
(714) 547-3346
(714) 547-3252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A45371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453710
—
CA
Enumeration date
10/17/2006
Last updated
05/21/2015
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