MR. SIBU RAJAN PA NPI 1114112596

NPI Information

NPI: 1114112596
Provider Name: MR. SIBU RAJAN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
16907 DEVONSHIRE ST
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 366-4626
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MR. Sibu Rajan, PA is a medical physician assistant in Granada Hills, CA. MR. Sibu Rajan, PA NPI is 1114112596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16907 DEVONSHIRE ST
GRANADA HILLS, CA
ZIP 91344-407
Phone: (818) 366-4626
Fax: (818) 366-4630

The enumeration date for this NPI number is 9/10/2007 and was last updated on 9/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 19141	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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