Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MADANKUMAR RAJ, M.D.
ActiveVascular Surgery · GREAT NECK, NY
Registration Details
- NPI Number
- 1528029162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2006 (20.057224831568 yrs)
- Last Updated
- Apr 4, 2023
- Licenses
-
231493 (NY)231493 (NY)231493 (NY)
Practice Information
- Address
-
600 NORTHERN BLVDSUITE 113GREAT NECK, NY, 11021Browse NY providers · Browse ZIP 11021
- Phone
- 5164415739
- Fax
- 5164415743
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.