Organization
ROSHAN RAJA DO PC
Active
Other names
CHILD NEUROLOGY SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHAN RAJA DO (PRESIDENT)
(702) 715-0698
Entity
Organization
Contact information
Practice address
2821 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052
(702) 920-0290
(702) 789-1050
Mailing address
2821 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4429
(702) 920-0290
(702) 789-1050
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033365556
—
NV
Enumeration date
08/15/2008
Last updated
09/11/2018
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