Provider Demographics
NPI:1932145943
Name:RAJARATNAM, RANJIT C (MD)
Entity Type:Individual
Prefix:
First Name:RANJIT
Middle Name:C
Last Name:RAJARATNAM
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 1:765 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4248
Mailing Address - Country:US
Mailing Address - Phone:201-837-7003
Mailing Address - Fax:201-837-2027
Practice Address - Street 1:765 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4248
Practice Address - Country:US
Practice Address - Phone:201-837-7003
Practice Address - Fax:201-837-2027
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4475802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0376302Medicaid
NJ0376302Medicaid
NJ441649Medicare PIN