Provider Demographics
NPI:1033209333
Name:RAJARAM, SRI SUJANTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:SRI SUJANTHY
Middle Name:
Last Name:RAJARAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SUJANTHY
Other - Middle Name:SRI
Other - Last Name:RAJARAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:339 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:BUILDING B
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08512-2901
Mailing Address - Country:US
Mailing Address - Phone:609-443-3900
Mailing Address - Fax:609-443-4800
Practice Address - Street 1:339 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:BUILDING B
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-2901
Practice Address - Country:US
Practice Address - Phone:609-443-3900
Practice Address - Fax:609-443-4800
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA068824207RS0012X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2291751000OtherAMERIHEALTH, KEYSTONE IBC
60019894OtherHORIZON NJ HEALTH
2309544OtherCIGNA
2173808OtherUNITED HEALTHCARE
37352OtherUNIVERSITY HEALTHPLAN
3K6051OtherHEALTHNET
010007758OtherAMERICHOICE
P00274023OtherRR MEDICARE
P3652631OtherOXFORD
1092950OtherAETNA
NJ8025207Medicaid
1092950OtherAETNA
010007758OtherAMERICHOICE