Provider Demographics
NPI:1255758298
Name:RAJENDRAN, PREJITH P (MD)
Entity type:Individual
Prefix:DR
First Name:PREJITH
Middle Name:P
Last Name:RAJENDRAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1324 TORRENT DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-0859
Mailing Address - Country:US
Mailing Address - Phone:972-824-7724
Mailing Address - Fax:
Practice Address - Street 1:4375 BOOTH CALLOWAY RD
Practice Address - Street 2:STE 208
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8362
Practice Address - Country:US
Practice Address - Phone:817-912-5900
Practice Address - Fax:817-912-5902
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR6264207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine