Rajaguru, Subbiah

Rajaguru, Subbiah is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rajaguru, Subbiah can be contacted via phone (217) 366-1304.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-089144 Illinois

Profile Details

NPI number 1366450678
LBN Legal business name Rajaguru, Subbiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 3rd, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366450678 NPPES
Other 110120109 RAILROAD MEDICARE
MEDICAID 036089144 1 RAILROAD MEDICARE
Other 279500 RAILROAD MEDICARE

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