Individual
DR. DERRY RAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 MERRICK RD, OCEANSIDE, NY 11572-1420
(516) 255-8400
Mailing address
1406 COLLEGE DR 1, TEXARKANA, TX 75503-3580
(903) 614-7693
(903) 614-5343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
Q2833
TX
208600000X
Surgery Physician
AC4187868124
NY
Other
Enumeration date
08/09/2010
Last updated
11/25/2015
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