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Individual

RAJAMURUGAN MEENAKSHISUNDARAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.070517
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MT220875
PA
207RP1001X
Pulmonary Disease Physician
Primary
MT220875
PA

Other

Enumeration date
07/11/2017
Last updated
03/03/2021
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