| Paul Koduvath Rajan, MD | |
|
100 15th St Nw, Norton, VA 24273-1616 | |
| (276) 439-1000 | |
| Not Available |
| Full Name | Paul Koduvath Rajan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 100 15th St Nw, Norton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720645963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0116032605 (Virginia) | Primary |
| Entity Name | Mcalester Regional Health Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316940034 PECOS PAC ID: 6709796436 Enrollment ID: O20040303001042 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20180326002260 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20210209000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Koduvath Rajan, MD 6717 Crooked Stick Dr, Fort Worth, TX 76132-4527 Ph: (817) 361-1810 | Paul Koduvath Rajan, MD 100 15th St Nw, Norton, VA 24273-1616 Ph: (276) 439-1000 |
Clayton Cavanaugh Davis, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 276-439-1000 | |
Dr. Brian Scott Newberry, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1490 Park Ave Nw, Suite 3, Norton, VA 24273 Phone: 276-679-8890 Fax: 276-679-9740 | |
Romulo Abrantes Fajardo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 340 Anderson Hollow Rd, Norton, VA 24273 Phone: 276-679-5880 Fax: 276-679-9156 | |
Dr. Roy R Deel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 423-630-7001 | |
John Nhu Khuu, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 671 Highway 58 E, Norton, VA 24273 Phone: 276-679-5874 | |
Shipeng Yu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 Commonwealth Dr, Norton, VA 24273 Phone: 276-679-0252 Fax: 276-679-6498 | |
Michael Lilly, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 96 15th St Nw Ste 111, Norton, VA 24273 Phone: 276-439-1871 |