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NPI Code Detail

MEDICARE: RAJENDRA KUMAR SUVARNA MD

MEDICARE: RAJENDRA KUMAR SUVARNA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician9906NV
2208M00000XHospitalist Physician9906NV
3207R00000XInternal Medicine PhysicianMD60092350WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265434633
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJENDRA KUMAR SUVARNA MD
Provider Business Mailing Address
First Line : 202 N DIVISION ST
Second Line : MULTICARE AUBURN MEDICAL CENTER
City : AUBURN
State : WA
Zip : 98001-4939
Country : US
Telephone Number : 253-333-2562
Fax Number : 253-333-2622
Provider Business Practice Location Address
First Line : 202 N DIVISION ST
Second Line : MULTICARE AUBURN MEDICAL CENTER
City : AUBURN
State : WA
Zip : 98001-4939
Country : US
Telephone Number : 253-333-2562
Fax Number : 253-333-2622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 11/19/2013

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