Provider Demographics
NPI:1881752251
Name:RAJENDRAN, ROSULA R (MD)
Entity type:Individual
Prefix:
First Name:ROSULA
Middle Name:R
Last Name:RAJENDRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9712 ZEMBRISKI DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6502
Mailing Address - Country:US
Mailing Address - Phone:214-547-0541
Mailing Address - Fax:214-547-0541
Practice Address - Street 1:9712 ZEMBRISKI DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-6502
Practice Address - Country:US
Practice Address - Phone:214-547-0541
Practice Address - Fax:214-547-0541
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8908207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC45076Medicare UPIN