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Contact Information

VENKATAKRISHNAN RAJARAM, MD
1456 PARK AVENUE WEST
H-1
MANSFIELD, OH44906
 Phone: 419-529-4602
 Fax: 419-529-4664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for VENKATAKRISHNAN RAJARAM · (Male)

NPI # 1205939741
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 11/02/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35078187
Hospital affiliation(s)
  • MEDCENTRAL HEALTH SYSTEM - (Acute Care)
    335 GLESSNER AVENUE
    MANSFIELD, OH 44903
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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