Provider Demographics
NPI:1104447861
Name:RAJAN, DON CHERIAN (MD)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:CHERIAN
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 1:8053 LANGDALE STREET
Mailing Address - Street 2:
Mailing Address - City:NEWHYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-787-5125
Mailing Address - Fax:
Practice Address - Street 1:5423 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURGH
Practice Address - State:TX
Practice Address - Zip Code:78539
Practice Address - Country:US
Practice Address - Phone:956-442-6412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2023-07-17
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2022-02-22
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAMD61372214207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program