Provider Demographics
NPI:1487648267
Name:MAJETY, RAJARAJESWARI (MD)
Entity Type:Individual
Prefix:
First Name:RAJARAJESWARI
Middle Name:
Last Name:MAJETY
Suffix:
Gender:F
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:PO BOX 781076
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48278-1076
Mailing Address - Country:US
Mailing Address - Phone:317-528-4800
Mailing Address - Fax:317-865-1479
Practice Address - Street 1:2050 N MAIN ST STE F
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-2048
Practice Address - Country:US
Practice Address - Phone:219-663-3737
Practice Address - Fax:219-663-5773
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055426A207RG0300X
IL036-102515207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200425490Medicaid
H80076Medicare UPIN
ILK09150Medicare PIN
IN200425490Medicaid
IN140220PPPPMedicare PIN