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Dr. Rajamanickam Purushothaman, MD
Geriatric Medicine (Internal Medicine) Physician in Springfield, Missouri
NPI 1558403519

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.

Location: 1965 S Fremont Ave, Springfield, MO, 65801-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558403519
Provider Name
Rajamanickam Purushothaman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1965 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-3760
Fax Number
417-820-3770
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82272 01 MO AR BLUE SHIELD #
203973813 05 MO
148760001 05 AR
institution
Provider Business Practice Location Address Details
Address
1965 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2201
Phone Number
417-820-3760
Fax Number
417-820-3770
person
Provider Business Mailing Address Details
Address
1965 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2201
Phone Number
417-820-3760
Fax Number
417-820-3770
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
105696 (Missouri)
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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