Mulloth, Rajan
Mulloth, Rajan is an individual health care provider with primary practice located at 1400 Main St , Peckville PA 18452-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mulloth, Rajan can be contacted via phone (570) 383-0236.Contact Information
Primary practice address
1400 Main St
Peckville PA 18452-2009
Phone: (570) 383-0236
Fax: (570) 383-3681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD057843L | Pennsylvania |
Profile Details
| NPI number | 1144282518 |
|---|---|
| LBN Legal business name | Mulloth, Rajan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jul 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144282518 | NPPES |
| Pennsylvania | MEDICAID | 0015887090009 |
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