Basic Information
| Provider Information | |||||||||
| NPI: | 1407943830 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SETTY | ||||||||
| FirstName: | RAJENDRA | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422472 | ||||||||
| FaxNumber: | 8569688414 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2006 | ||||||||
| LastUpdateDate: | 06/03/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0206X | MA081594 | NJ | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 2767176 | 01 | NJ | UNITED HEALTHCARE | OTHER | P3722831 | 01 | NJ | OXFORD | OTHER | 0116254 | 05 | NJ | MEDICAID | 1399450 | 01 | NJ | AETNA | OTHER | 9660865 | 01 | NJ | CIGNA | OTHER | 02832828 | 05 | NY | MEDICAID | 2800737000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 43524 | 01 | NJ | UNIVERISTY HEALTH PLAN | OTHER | 60025717 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 01007801200 | 01 | NJ | AMERICHOICE | OTHER | 3K5751 | 01 | NJ | HEALTHNET | OTHER | 7207875 | 01 | NJ | AETNA | OTHER |