Individual
RAJA MEHANNA
Active
Individual
RAJA MEHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P7953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315286YKY3
MEDICARE
—
05
—
326051501
—
TX
01
—
326051502
CSHCN
—
01
—
8DY143
BCBS
—
01
—
P01428484
RR MEDICARE
—
Enumeration date
01/08/2009
Last updated
08/02/2016
Update your record
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