Individual
MADHU RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 AVENUE I, BROOKLYN, NY 11230-2653
(718) 377-8800
(718) 951-1122
Mailing address
515 AVENUE I, BROOKLYN, NY 11230-2653
(718) 377-8800
(718) 951-1122
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
210992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860017
—
NY
Enumeration date
07/30/2006
Last updated
03/13/2012
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