Provider Demographics
NPI:1134355852
Name:SANKAR, RAJA LAXMI (MD)
Entity type:Individual
Prefix:
First Name:RAJA LAXMI
Middle Name:
Last Name:SANKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-882-1302
Mailing Address - Fax:570-882-5352
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-882-1302
Practice Address - Fax:570-882-5352
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT195835207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine