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1679962757 NPI number — RAJU RAJENDRAN P.T

NPI Number: 1679962757
Health Care Provider/Practitioner: RAJU RAJENDRAN P.T

Information about “1679962757” NPI (RAJU RAJENDRAN P.T) exists in 1679962757 in HTML format HTML  |  1679962757 in plain Text format TXT  |  1679962757 in PDF (Portable Document Format) PDF  |  1679962757 in an XML format XML  formats.

NPI Number : 1679962757 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679962757",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAJENDRAN",
    "FirstName": "RAJU",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.T",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "225/64.NEW KARKANA 6TH CROSS",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "THIRUVANNAMALAI",
    "MailingAddressStateName": "TAMIL NADU",
    "MailingAddressPostalCode": "606601",
    "MailingAddressCountryCode": "IN",
    "MailingAddressTelephoneNumber": "914175229185",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1020.SOUTH 23RD STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEAUMONT",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77707",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "409-840-6169",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/13/2015",
    "LastUpdateDate": "01/13/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1101087",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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