Organization
SAI UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATARAJAN RAJAN MD (PHYSICIAN)
(252) 308-6889
Entity
Organization
Contact information
Practice address
117 PROFESSIONAL DR, ROANOKE RAPIDS, NC 27870-3220
(252) 308-6889
(252) 308-0049
Mailing address
117 PROFESSIONAL DRIVE, ROANOKE RAPIDS, NC 27870-3220
(252) 308-6889
(252) 308-0049
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9800672
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112N
BCBS
NC
01
—
340017191
RAILROAD MEDICARE
NC
05
—
790112N
—
NC
Enumeration date
02/01/2006
Last updated
11/19/2011
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