Individual
VASANTH RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
4015 AVALON ST, TRACY, CA 95377-8433
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
NA
CA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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