Individual
DR. MANISHA RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 380-4072
(931) 490-7043
Mailing address
ONE MEDICAL CENTER DR., MORGANTOWN, WV 26506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56290
TN
208M00000X
Hospitalist Physician
56290
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
03/17/2018
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