Dr. Madankumar Raj, M.D.
in Great Neck, NY. Individual provider (NPI-1).
NPI number1528029162
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1528029162
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madankumar Raj
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2006
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | 231493 | NY | Yes | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 231493 | NY | |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 231493 | NY |
Other names
- Madan K Raj (Other Name)
Practice location
600 Northern BlvdSuite 113
Great Neck, NY 11021
Phone 516-441-5739 · Fax 516-441-5743
Mailing address
11 Holiday Pond RdJericho, NY 11753-1154
Phone 516-478-0010 · Fax 516-482-0143
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pain Medicine Physician providers in Great Neck, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.