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Organization
MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MANIKANDA RAJA MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIKANDA RAJA MD (PRESIDENT)
(951) 658-4486
Entity
Organization
Contact information
Practice address
1701 E FLORIDA AVE, HEMET, CA 92544-4632
(951) 658-4486
(951) 925-1666
Mailing address
1701 E FLORIDA AVE, HEMET, CA 92544-4632
(951) 658-4486
(951) 925-1666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/23/2015
Last updated
04/09/2015
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