Individual
ASWINI RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 762-2468
(607) 762-3871
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 762-2468
(607) 762-3871
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003336
NY
208000000X
Pediatrics Physician
Primary
267533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03121482
—
NY
Enumeration date
02/06/2009
Last updated
11/30/2012
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