Organization
DRS. RAJA & RAJA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREMALA RAJA M.D. (OWNER)
(941) 475-5672
Entity
Organization
Contact information
Practice address
900 PINE ST, SUITE 215, ENGLEWOOD, FL 34223-4418
(941) 475-5672
(941) 473-1456
Mailing address
900 PINE ST, SUITE 215, ENGLEWOOD, FL 34223-4418
(941) 475-5672
(941) 473-1456
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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