Individual
RAJANYA PETERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 E MARSHALL STREET, RICHMOND, VA 23298-0510
(804) 628-4368
(804) 828-8299
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101251369
VA
207Y00000X
Otolaryngology Physician
49835
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258697000
—
MN
Enumeration date
04/02/2007
Last updated
08/07/2012
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