Individual
DHARAM RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1251 KEM RD, SUITE B, MARION, IN 46952
(765) 662-8696
(765) 662-8738
Mailing address
1251 KEM RD, SUITE B, MARION, IN 46952
(765) 662-8696
(765) 662-8738
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01027274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362238
ANTHEM BCBS
IN
Enumeration date
11/10/2005
Last updated
08/23/2007
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