| Dr P G Rajan Md Inc | |
|
75-5591 Palani Rd Sre 2002 Kailua Kona HI 96740-3631 | |
| (808) 887-0600 | |
| (808) 887-6699 |
| Full Name | Dr P G Rajan Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 75-5591 Palani Rd, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Parthasarathy Govindarajan (OWNER) |
| Authorized Official Contact | 7148327642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr P G Rajan Md Inc 75- 5591 Palani Rd Ste 2002 Kailua Kona HI 96740-8409 Ph: (808) 887-0600 | Dr P G Rajan Md Inc 75-5591 Palani Rd Sre 2002 Kailua Kona HI 96740-3631 Ph: (808) 887-0600 |
| NPI Number | 1407092539 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407092539 | NPI | - | NPPES |
| 00A300730 | Medicaid | CA | |
| 624800 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 624800 (Hawaii) | Primary |
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