Individual
JAMES LIONEL RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 WHARTON LN NE, NORTON, VA 24273-1541
(276) 679-0321
(276) 679-6498
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101245034
VA
207Y00000X
Otolaryngology Physician
35.048273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119340
ANTHEM
OH
05
—
0508329
—
OH
01
—
1000118
UNITED HEALTH CARE
OH
01
—
4581136
AETNA
OH
Enumeration date
12/03/2005
Last updated
07/27/2012
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