Individual
PRADNYA RAJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2304 LAKE TRL, FAIRFIELD, IA 52556-9603
(334) 497-1922
Mailing address
2304 LAKE TRL, FAIRFIELD, IA 52556-9603
(334) 497-1922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44298
AZ
207Q00000X
Family Medicine Physician
Primary
51950
IA
Other
Enumeration date
07/15/2008
Last updated
09/18/2025
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