Provider Demographics
NPI:1336430958
Name:RAJAEE, SAREH (SAREH RAJAEE)
Entity type:Individual
Prefix:
First Name:SAREH
Middle Name:
Last Name:RAJAEE
Suffix:
Gender:F
Credentials:SAREH RAJAEE
Other - Prefix:
Other - First Name:SAREH
Other - Middle Name:
Other - Last Name:RAJAEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:960 50TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3399
Mailing Address - Country:US
Mailing Address - Phone:718-438-3800
Mailing Address - Fax:718-438-3131
Practice Address - Street 1:960 50TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3399
Practice Address - Country:US
Practice Address - Phone:718-438-3800
Practice Address - Fax:718-438-3131
Is Sole Proprietor?:No
Enumeration Date:2011-04-30
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2898562086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery