Provider Demographics
NPI:1174796239
Name:JANARDHANAN, RAJESH (MD, MRCP, FACC, FASE)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:
Last Name:JANARDHANAN
Suffix:
Gender:M
Credentials:MD, MRCP, FACC, FASE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5046
Mailing Address - Country:US
Mailing Address - Phone:520-626-6358
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5046
Practice Address - Country:US
Practice Address - Phone:520-626-6358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243312207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine