Individual
MR. RAJ KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSC MBBS PA-C
Contact information
Practice address
330 C STREET SW, WASHINGTON, DC 20202-9517
(202) 260-0428
(202) 401-2901
Mailing address
PO BOX 771, MANTECA, CA 95336-1133
(812) 205-5470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52699
CA
363A00000X
Physician Assistant
PA04339
TX
363AM0700X
Medical Physician Assistant
—
CA
Other
Enumeration date
08/16/2005
Last updated
03/27/2022
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