Individual
DR. NIRAJ LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 4TH ST STE 120, SANTA ROSA, CA 95404-3661
(707) 523-7025
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01082789A
IN
207Y00000X
Otolaryngology Physician
Primary
A41784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540845
MEDICARE PTAN
IN
05
—
300072539
—
IN
Enumeration date
03/08/2007
Last updated
08/06/2025
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