| Doctor Name: | PHILLIP THOMAS RAJADAS |
| NPI Number: | 1346242872 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 39112 |
| Business Practice Address: | 201 S Mcculloch Blvd Pueblo West, CO - 810072892 |
| Business Phone Number: | 7195615377 |
| Business Fax Number: | 7195615378 |
| Mailing Address: | Po Box 8867, PUEBLO |
| State: | CO |
| Postal Code: | 810088867 |
| Phone Number: | 7195615377 |
| Fax Number: | 7195615378 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 08/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2081P2900X |
| License Number: | 39112 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Physical Medicine & Rehabilitation |
| Taxonomy Specialization: | Pain Medicine |
| Taxonomy Definition: | A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |