Provider Demographics
NPI:1396721023
Name:CHARY, RAJINI (MD)
Entity type:Individual
Prefix:
First Name:RAJINI
Middle Name:
Last Name:CHARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAJINI
Other - Middle Name:
Other - Last Name:SESHACHARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX A D
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-1396
Mailing Address - Country:US
Mailing Address - Phone:530-751-3769
Mailing Address - Fax:530-751-1237
Practice Address - Street 1:1211 CORTINA DR
Practice Address - Street 2:
Practice Address - City:ORLAND
Practice Address - State:CA
Practice Address - Zip Code:95963-1699
Practice Address - Country:US
Practice Address - Phone:530-865-5544
Practice Address - Fax:530-865-9209
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC526412080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC52641OtherMEDICAL