Provider Demographics
NPI:1396786653
Name:RAJAN, T.S.S (MD)
Entity type:Individual
Prefix:DR
First Name:T.S.S
Middle Name:
Last Name:RAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:T.S
Other - Middle Name:
Other - Last Name:SOUNDARAJAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:15581 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7554
Mailing Address - Country:US
Mailing Address - Phone:714-839-2122
Mailing Address - Fax:714-377-1776
Practice Address - Street 1:1410 W ALONDRA BLVD STE B
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-3533
Practice Address - Country:US
Practice Address - Phone:310-885-1482
Practice Address - Fax:310-885-1423
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26101207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine