Individual
AKHILA MOHAN RAJARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7906
(570) 808-7916
(570) 808-6006
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
92375
GA
207V00000X
Obstetrics & Gynecology Physician
OS019546
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
09/14/2022
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