Provider Demographics
NPI:1508108192
Name:RAJAMANICKAM, SENDHAN AMUDHAN (MBBS, MRCS, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:SENDHAN
Middle Name:AMUDHAN
Last Name:RAJAMANICKAM
Suffix:
Gender:M
Credentials:MBBS, MRCS, FRCSC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CARTER ST
Mailing Address - Street 2:WILSON BUILDING, ORTHOPEDICS AT RGH
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2604
Mailing Address - Country:US
Mailing Address - Phone:585-922-9003
Mailing Address - Fax:585-922-9007
Practice Address - Street 1:800 CARTER ST
Practice Address - Street 2:WILSON BUILDING, ORTHOPEDICS AT RGH
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2604
Practice Address - Country:US
Practice Address - Phone:585-922-9003
Practice Address - Fax:585-922-9007
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268490207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery