Provider Demographics
NPI:1104145325
Name:RAMANATHAN, RAJESH (MD)
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:RAMANATHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Mailing Address - Street 2:2940 E. BANNER GATEWAY DRIVE SUITE 450
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234
Mailing Address - Country:US
Mailing Address - Phone:480-256-6444
Mailing Address - Fax:480-256-3682
Practice Address - Street 1:BANNER MD ANDERSON CANCER CENTER
Practice Address - Street 2:2946 E. BANNER GATEWAY DRIVE
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234
Practice Address - Country:US
Practice Address - Phone:480-256-6444
Practice Address - Fax:480-256-3682
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2019-10-30
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Provider Licenses
StateLicense IDTaxonomies
AZ588112086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology