Provider Demographics
NPI:1992735757
Name:RAJENDER, SETTIHALLI L (MD)
Entity type:Individual
Prefix:
First Name:SETTIHALLI
Middle Name:L
Last Name:RAJENDER
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:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7828207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND15208OtherNDBS #
ND2900233OtherMEDICA #
ND765556OtherAMERICA'S PPO/ARAZ #
ND2900151OtherMEDICA #
ND10407Medicaid
ND142051OtherUCARE #
NDDA9011015576OtherPREFERRED ONE #
NDND200126OtherLHS #
ND15212OtherNDBS #
ND34Q56RAOtherMNBS #
NDHP25762OtherHEALTHPARTNERS #
ND34Q56RAOtherMNBS #
ND100010584Medicare ID - Type UnspecifiedRR MEDICARE #
ND2900233OtherMEDICA #
ND15212OtherNDBS #
ND2900151OtherMEDICA #