Provider Demographics
NPI:1982857678
Name:NIRANJANA RAJAN, M.D., P.A.
Entity Type:Organization
Organization Name:NIRANJANA RAJAN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRANJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJAN-MOHANDAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-799-0068
Mailing Address - Street 1:666 PLAINSBORO RD
Mailing Address - Street 2:SUITE 2000E
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-3030
Mailing Address - Country:US
Mailing Address - Phone:609-799-0068
Mailing Address - Fax:
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:SUITE 2000E
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-799-0068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65272208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty