Individual
DR. KANTHI RAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2150 LAKESIDE BLVD STE 225E, RICHARDSON, TX 75082
(972) 907-5230
(972) 907-5231
Mailing address
2150 LAKESIDE BLVD STE 225E, RICHARDSON, TX 75082-4302
(972) 907-5230
(972) 907-5231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K1905
TX
Other
Enumeration date
08/11/2006
Last updated
08/27/2018
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