Raju, Srirangarajan

Raju, Srirangarajan is an individual health care provider with primary practice located at 1759 E Villa Dr , Cottonwood AZ 86326-4681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Raju, Srirangarajan can be contacted via phone (289) 235-8835.

Contact Information

Primary practice address
1759 E Villa Dr Cottonwood AZ 86326-4681
Phone: (289) 235-8835
Fax: (289) 226-6411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E8258 Arkansas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 55671 Arizona
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X E-8258 Arkansas

Profile Details

NPI number 1053570085
LBN Legal business name Raju, Srirangarajan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Apr 23rd, 2019 - about 7 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 1053570085 NPPES
Missouri MEDICAID 1053570085
Missouri MEDICAID 47064
Missouri Other Z222252
Missouri MEDICAID 1053570085

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