Healthcare Provider Details

I. General information

NPI: 1407929524
Provider Name (Legal Business Name): RAJOHN KARANJAI M,D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 14TH AVE SW STE 110
SIDNEY MT
59270
US

IV. Provider business mailing address

214 14TH AVE SW STE 110
SIDNEY MT
59270-3521
US

V. Phone/Fax

Practice location:
  • Phone: 406-488-2560
  • Fax: 406-488-2549
Mailing address:
  • Phone: 406-488-2560
  • Fax: 406-488-2549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number10140
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number10140
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: