Provider Demographics
NPI:1023209681
Name:RAJOHN KARANJAI, M.D., P.C.
Entity Type:Organization
Organization Name:RAJOHN KARANJAI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAJOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANJAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-488-2560
Mailing Address - Street 1:214 14TH AVE SW
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-3521
Mailing Address - Country:US
Mailing Address - Phone:406-488-2560
Mailing Address - Fax:406-488-2549
Practice Address - Street 1:214 14TH AVE SW
Practice Address - Street 2:SUITE 110
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-3521
Practice Address - Country:US
Practice Address - Phone:406-488-2560
Practice Address - Fax:406-488-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT10140207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000084460OtherMEDICARE GROUP #
MTH26583Medicare UPIN