Provider Demographics
NPI:1114138377
Name:RAJAGIRIYIL, NANCY CHACKO (DO)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CHACKO
Last Name:RAJAGIRIYIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N JOBSON RD
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-5001
Mailing Address - Country:US
Mailing Address - Phone:214-455-9029
Mailing Address - Fax:
Practice Address - Street 1:118 N JOBSON RD
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-5001
Practice Address - Country:US
Practice Address - Phone:214-455-9029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-26
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1089207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine