Individual provider · NPI-1

Dr. Amarabalan Rajendran, M.D

Physical Medicine & Rehabilitation · Rome, GA

NPI number1962843680
StatusActive
Last updated in NPPESJun 10, 2020

Details

NPI
1962843680
Entity type
Individual (NPI-1)
Name
Dr. Amarabalan Rajendran
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2013
Certification date
Jun 10, 2020
Last updated
Jun 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation075653GAYes
207R00000X Internal Medicine075653GA

Practice location

3 Central Plz # 353
Rome, GA 30161-3233

Phone 516-301-8155

Mailing address

3 Central Plz # 353
Rome, GA 30161-3233

Phone 516-301-8155

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