Provider Demographics
NPI:1578584405
Name:RAGURAJ, SINNARAJAH (MD)
Entity Type:Individual
Prefix:
First Name:SINNARAJAH
Middle Name:
Last Name:RAGURAJ
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 1:208 PLUMTREE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6056
Mailing Address - Country:US
Mailing Address - Phone:410-420-9836
Mailing Address - Fax:410-420-9837
Practice Address - Street 1:208 PLUMTREE RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6056
Practice Address - Country:US
Practice Address - Phone:410-420-9836
Practice Address - Fax:410-420-9837
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053720207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD453303800Medicaid
892880OtherMAMSI
61468007OtherCAREFIRST BCBS
9702675001OtherCIGNA
2153224OtherAETNA
T0110001OtherCAREFIRST BLUE CHOICE
110187367OtherRAILROAD MEDICARE
27011021OtherUNITED HEALTHCARE
T0110001OtherCAREFIRST BLUE CHOICE
G78248Medicare UPIN