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Contact Information

MADANKUMAR RAJ, MD
600 NORTHERN BLVD
SUITE 113
GREAT NECK, NY11021
 Phone: 516-441-5739
 Fax: 516-441-5743
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MADANKUMAR RAJ · (Male)

NPI Number 1528029162
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 04/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 231493
Hospital affiliation(s) Not Available
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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