PHAVALAN RAJENDRAM MD, FRCPC – NPI #1942935333
Psychiatry & Neurology

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

PHAVALAN RAJENDRAM is a psychiatry & neurologist located in BOSTON, MA. NPPES has assigned the NPI number 1942935333 to PHAVALAN RAJENDRAM on July 19, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084V0102X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Vascular Neurology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHAVALAN RAJENDRAM below.

NPI Profile for
PHAVALAN RAJENDRAM

NPI Number
1942935333
Enumeration Date

(about 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHAVALAN RAJENDRAM
Credentials
MD, FRCPC
Primary location
330 BROOKLINE AVENUE
PALMER 127
BOSTON, MA 02215
Phone: (617) 632-8980 Fax: (617) 632-8920
Mailing address
165 CAMBRIDGEPARK DR UNIT 452
CAMBRIDGE, MA 02140-2497
Phone: (781) 460-1323 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 19, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084V0102X
- Psychiatry & Neurology / Vascular Neurology (Primary)
MA 292405

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.