Provider Demographics
NPI:1336116730
Name:ALAGURAJ, THIAGARAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THIAGARAJAN
Middle Name:
Last Name:ALAGURAJ
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 1:751 RT 37 WEST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:732-240-7757
Mailing Address - Fax:732-240-7761
Practice Address - Street 1:751 RT 37 WEST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-240-7757
Practice Address - Fax:732-240-7761
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA300332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0621404Medicaid
NJ0621404Medicaid
NJ0621404Medicaid
AA1456210OtherDEA