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Organization
MIR-RAJ MEDICAL, INC.
Active
Organization
MIR-RAJ MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ YANDE D.O. (PRESIDENT/OWNER)
(814) 371-3304
Entity
Organization
Contact information
Practice address
633 MAPLE AVE, DU BOIS, PA 15801-2383
(814) 371-3304
(814) 371-3305
Mailing address
633 MAPLE AVE, DU BOIS, PA 15801-2383
(814) 371-3304
(814) 371-3305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS013788
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002004739
BLUE SHIELD
PA
Enumeration date
03/10/2008
Last updated
01/08/2009
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