Healthcare Provider Details

I. General information

NPI: 1538101936
Provider Name (Legal Business Name): RAJENDER S TOTLANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 S CEDAR CREST BLVD STE 109
ALLENTOWN PA
18103-6205
US

IV. Provider business mailing address

1251 S CEDAR CREST BLVD STE 109
ALLENTOWN PA
18103-6205
US

V. Phone/Fax

Practice location:
  • Phone: 610-434-2162
  • Fax: 484-403-4011
Mailing address:
  • Phone: 610-434-2162
  • Fax: 484-403-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number059331LL
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: