Healthcare Provider Details

I. General information

NPI: 1609825181
Provider Name (Legal Business Name): ARUN RAJAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237A STATE RD
DARTMOUTH MA
02747-2612
US

IV. Provider business mailing address

237A STATE RD
DARTMOUTH MA
02747-2612
US

V. Phone/Fax

Practice location:
  • Phone: 508-993-9760
  • Fax: 508-993-9764
Mailing address:
  • Phone: 508-993-9760
  • Fax: 508-993-9764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberME120314
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number156818
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: