Provider Demographics
NPI:1194774281
Name:RAJI, ANNASWAMY (MD)
Entity type:Individual
Prefix:DR
First Name:ANNASWAMY
Middle Name:
Last Name:RAJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ELLIOT WAY
Mailing Address - Street 2:ELLIOT ENDOCRINOLOGY
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3502
Mailing Address - Country:US
Mailing Address - Phone:603-663-3740
Mailing Address - Fax:603-663-3749
Practice Address - Street 1:1 ELLIOT WAY
Practice Address - Street 2:ELLIOT ENDOCRINOLOGY
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3502
Practice Address - Country:US
Practice Address - Phone:603-663-3740
Practice Address - Fax:603-663-3749
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14041207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3088688Medicaid
MA0139301Medicaid
P00630439Medicare PIN
NH3088688Medicaid
MA000513104Medicare PIN
MAG35261Medicare UPIN
MA0139301Medicaid