Provider Demographics
NPI:1003906801
Name:RAMPERSAUD, RAJENDRA M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:M
Last Name:RAMPERSAUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1311
Mailing Address - Country:US
Mailing Address - Phone:914-965-3366
Mailing Address - Fax:914-965-1310
Practice Address - Street 1:970 NORTH BROADWAY SUITE 209
Practice Address - Street 2:RAJENDRA M RAMPERSAUD MD
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1311
Practice Address - Country:US
Practice Address - Phone:914-965-3366
Practice Address - Fax:914-965-1310
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234613207RP1001X, 207RS0012X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02635885Medicaid