Provider Demographics
NPI:1518209311
Name:RAJARAM, SINNAKAMAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:SINNAKAMAN
Middle Name:S
Last Name:RAJARAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3845 DENISE LN
Mailing Address - Street 2:DENISE LANE
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-1208
Mailing Address - Country:US
Mailing Address - Phone:510-889-6890
Mailing Address - Fax:510-886-6709
Practice Address - Street 1:3845 DENISE LN
Practice Address - Street 2:DENISE LANE
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-1208
Practice Address - Country:US
Practice Address - Phone:510-889-6890
Practice Address - Fax:510-886-6709
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA31629208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics