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Organization

PRITHVIRAJ DHARMARAJA, MD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRITHVIRAJ DHARMARAJA MD (CEO)
(661) 726-6277
Entity
Organization

Contact information

Practice address
41301 12TH ST W STE A, PALMDALE, CA 93551-1465
(661) 726-6277
(661) 726-6291
Mailing address
PO BOX 6168, LANCASTER, CA 93539-6168
(661) 726-6277
(661) 726-6291

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932111424
CA
Enumeration date
09/26/2018
Last updated
09/26/2018
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