Sibu Rajan, PA
Physician Assistant, Medical in Granada Hills, CA. Individual provider (NPI-1).
NPI number1114112596
StatusActive
Last updated in NPPESSep 10, 2007
Details
- NPI
- 1114112596
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sibu Rajan
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2007
- Last updated
- Sep 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA 19141 | CA | Yes |
Practice location
16907 Devonshire StGranada Hills, CA 91344-7407
Phone 818-366-4626 · Fax 818-366-4630
Mailing address
16907 Devonshire StGranada Hills, CA 91344-7407
Phone 818-366-4626 · Fax 818-366-4630
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Other Medical Physician Assistant providers in Granada Hills, CA
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All 6 Medical Physician Assistant providers in Granada Hills · All 1,199 providers in Granada Hills
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