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Individual
RAJESH PURI
Active
Individual
RAJESH PURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FAAP, FACPH
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
0101047343
VA
208000000X
Pediatrics Physician
0101047343
VA
208D00000X
General Practice Physician
Primary
0101047343
VA
Other
Enumeration date
05/10/2007
Last updated
10/10/2015
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