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Organization
SURESH RAJA MD LLC
Active
Organization
SURESH RAJA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH RAJAMANICKAM MD (DIRECT OWNER)
(561) 767-0721
Entity
Organization
Contact information
Practice address
11104 GREEN BAYBERRY DR, PALM BEACH GARDENS, FL 33418-1510
(561) 767-0721
Mailing address
11104 GREEN BAYBERRY DR, PALM BEACH GARDENS, FL 33418-1510
(561) 767-0721
(561) 429-6223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
04/16/2020
Last updated
08/28/2023
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