Rajamanickam Purushothaman is a Geriatric Medicine (Internal Medicine) Physician based in Springfield, MO and is specialized in Geriatric Medicine. Rajamanickam Purushothaman practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Rajamanickam Purushothaman is 1558403519 and holds a License No. 105696 (Missouri).
The current practice location address for Rajamanickam Purushothaman is 1965 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-3760 and via fax at 417-820-3770. You can also correspond with Rajamanickam Purushothaman through the mailing address at PO BOX 2580, SPRINGFIELD, MO - 65801-2580 (mailing address contact number: 417-829-4620).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82272 | 01 | MO | AR BLUE SHIELD # |
| 203973813 | 05 | MO | |
| 148760001 | 05 | AR |
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