Provider Demographics
NPI:1134412885
Name:SENGUTTUVAN, RAJA RAJESWARI (MD,)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:RAJESWARI
Last Name:SENGUTTUVAN
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 1:177 WHITE PLAINS RD
Mailing Address - Street 2:APT 15F
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5518
Mailing Address - Country:US
Mailing Address - Phone:914-631-7716
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS, DIVISION OF NEWBORN MEDICINE
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2455822080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine