Individual
DR. JESU VIJAY SHELDON JOSEPH MICHAEL RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2376 CYPRESS CIR STE 102, CONWAY, SC 29526-8964
(843) 347-8953
(843) 347-0226
Mailing address
300 SINGLETON RIDGE RD, ATTN PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
87483
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874833
—
SC
Enumeration date
06/27/2014
Last updated
07/22/2022
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