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Individual

DR. ALI I RAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSC

Contact information

Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
5918 LEE AVE, LITTLE ROCK, AR 72205-3326
(501) 227-1860

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
63483
AZ
207T00000X
Neurological Surgery Physician
Primary
E4731
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172805001
AR
01
P00622530
RAILROAD MEDICARE
AR
01
P00622542
RAILROAD MEDICARE
AR
Enumeration date
04/12/2007
Last updated
09/18/2025
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