Provider Demographics
NPI:1043392400
Name:SARAIYA, RAJENDRA J (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:J
Last Name:SARAIYA
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 1:200 HAVEN AVE
Mailing Address - Street 2:APT # 2M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-5348
Mailing Address - Country:US
Mailing Address - Phone:212-923-2361
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF SURGERY 1650, SELWYN AVENUE
Practice Address - Street 2:APT # 4A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457
Practice Address - Country:US
Practice Address - Phone:718-960-1210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194213-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery