Provider Demographics
NPI:1104031376
Name:RATNESAR, RAJENDRA MANOHARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:MANOHARAN
Last Name:RATNESAR
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 1:26851 GREENHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94542-1438
Mailing Address - Country:US
Mailing Address - Phone:519-747-4585
Mailing Address - Fax:510-747-4507
Practice Address - Street 1:1240 S LOOP RD
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-7084
Practice Address - Country:US
Practice Address - Phone:510-747-4585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34529207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology