Individual
MICHAEL J RAJKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 886-8545
(855) 629-7856
Mailing address
112 LAFAYETTE ST, NORWICH, CT 06360-2737
(860) 886-8545
(855) 629-7856
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
038660
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001386607
—
CT
01
—
010038660CT01
BC BS
CT
01
—
010038660CT02
ANTHEM
CT
01
—
3699514
AETNA
CT
01
—
3V0765
HEALTHNET
CT
01
—
9621008
CIGNA
CT
01
—
P3546045
OXFORD
CT
Enumeration date
12/27/2005
Last updated
08/19/2014
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