Provider Demographics
NPI:1992801971
Name:DHARAMPURIYA, RAJESH BHAGWANDAS (MD)
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:BHAGWANDAS
Last Name:DHARAMPURIYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 772
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-6772
Mailing Address - Country:US
Mailing Address - Phone:978-365-8200
Mailing Address - Fax:978-368-1214
Practice Address - Street 1:201 HIGHLAND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-1037
Practice Address - Country:US
Practice Address - Phone:978-365-8200
Practice Address - Fax:978-368-1214
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine