Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RAJESH KANNAN ETHIRAJ, M.D.
ActiveDR. RAJESH KANNAN ETHIRAJ, M.D. is a Occupational Medicine healthcare provider located in QUINCY, Illinois. NPI 1669667242 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · QUINCY, IL
Registration Details
- NPI Number
- 1669667242
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2007 (18.951949827602 yrs)
- Last Updated
- Jul 3, 2024
- Licenses
-
U0017 (TX)56255 (WI)036121632 (IL)
Practice Information
- Address
-
927 BROADWAY STQUINCY, IL, 623012719Browse IL providers · Browse ZIP 62301
- Phone
- 2172236423
- Fax
- 2172236407
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Occupational Medicine
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.