Provider Demographics
NPI:1770854325
Name:RAJAN, SAJU (MD)
Entity Type:Individual
Prefix:DR
First Name:SAJU
Middle Name:
Last Name:RAJAN
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 1:417 QUARRY LAKES DRIVE
Mailing Address - Street 2:CLEVELAND CLINIC CANCER CENTER
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870
Mailing Address - Country:US
Mailing Address - Phone:419-626-9090
Mailing Address - Fax:
Practice Address - Street 1:417 QUARRY LAKES DR
Practice Address - Street 2:CLEVELAND CLINIC CANCER CENTER
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-8635
Practice Address - Country:US
Practice Address - Phone:419-626-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-12
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1291762085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology