Healthcare Provider Details

I. General information

NPI: 1487655692
Provider Name (Legal Business Name): SENTHIL K NATARAJAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 WINTON RD S SUITE 1
ROCHESTER NY
14618-3960
US

IV. Provider business mailing address

1870 WINTON RD S SUITE 1
ROCHESTER NY
14618-3960
US

V. Phone/Fax

Practice location:
  • Phone: 585-442-4690
  • Fax: 585-442-4692
Mailing address:
  • Phone: 585-442-4690
  • Fax: 585-442-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number212672
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number212672
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: