Provider Demographics
NPI:1902878325
Name:CSUDAE, RAJITHA R (MD)
Entity Type:Individual
Prefix:
First Name:RAJITHA
Middle Name:R
Last Name:CSUDAE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:162 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1930
Practice Address - Country:US
Practice Address - Phone:508-393-1307
Practice Address - Fax:508-393-2824
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA219017207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A36530OtherMEDICARE B
MA2035081Medicaid
60137OtherCHILDRENS MEDICAL SECURIT
7325587OtherAETNA US HEALTHCARE
784123OtherMVP HEALTH CARE
J27480OtherBLUE SHIELD HMO BLUE
J27480OtherBLUE CARE ELECT
0406138OtherEVERCARE
7390368OtherCIGNA HEALTH PLAN
AA7232OtherHARVARD PILGRIL HEALTHCAR
J27480OtherBLUE SHIELD INDEMNITY
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTRICARE CHAMPUS
2035081OtherWELFARE
5590289OtherFIRST HEALTH
A36530OtherMEDICARE B
67836OtherFALLON COMMUNITY HEALTH P
60137OtherHEALTHY START
A36530OtherMEDICARE B
0406138OtherEVERCARE