Provider Demographics
NPI:1487224192
Name:RAJAN, NAVNEET (CCRN)
Entity Type:Individual
Prefix:
First Name:NAVNEET
Middle Name:
Last Name:RAJAN
Suffix:
Gender:M
Credentials:CCRN
Other - Prefix:MR
Other - First Name:NAVNEET
Other - Middle Name:
Other - Last Name:GOVINDARAJAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GOVINDARAJAN
Mailing Address - Street 1:1050 QUARTERMASTER CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-4845
Mailing Address - Country:US
Mailing Address - Phone:310-463-7827
Mailing Address - Fax:
Practice Address - Street 1:20 E RIVER PARK PL W
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-1551
Practice Address - Country:US
Practice Address - Phone:559-256-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-26
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95161916163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine