Provider Demographics
NPI:1609825181
Name:RAJAN, ARUN (MD)
Entity type:Individual
Prefix:
First Name:ARUN
Middle Name:
Last Name:RAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237A STATE RD
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2612
Mailing Address - Country:US
Mailing Address - Phone:508-993-9760
Mailing Address - Fax:508-993-9764
Practice Address - Street 1:237A STATE RD
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2612
Practice Address - Country:US
Practice Address - Phone:508-993-9760
Practice Address - Fax:508-993-9764
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1203142084S0012X
MA156818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2630520OtherUS HEALTHCARE
MA000000022318OtherBMC HEALTHNET
MA0024509OtherNEIGHBORHOOD HEALTH PLAN
MA0502404OtherUNITED HEALTHCARE
MAB20842101OtherCIGNA
MA409362OtherBLUE CHIP RI
MA04-3568655OtherHEALTHCARE VALUE MANAGEME
MA42413508OtherCHAMPUS
MA156818OtherTUFTS/SECURE HORIZONS
MA5371644OtherAETNA
MA111002OtherHARVARD PILGRIM
MA13002002OtherRAILROAD MEDICARE
MA3180221Medicaid
MAJ19034OtherBC/BS
MA2630520OtherUS HEALTHCARE
MA04-3568655OtherHEALTHCARE VALUE MANAGEME