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Individual

MELANIE RAJKUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 S TAYLOR AVE, MASON CITY, IA 50401-2849
(641) 428-7766
(641) 428-7788
Mailing address
3926 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 266-8210
(260) 458-5636

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01078213
IN
207P00000X
Emergency Medicine Physician
Primary
MD477565
PA
207Q00000X
Family Medicine Physician
R-9626
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104042217-0001
PA
Enumeration date
05/09/2013
Last updated
12/04/2023
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