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Individual

DR. RAJESWARI GUNDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-3344
(419) 783-2793
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-3344
(419) 783-2793

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35056652
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296654
ANTHEM BCBS
OH
05
0713455
OH
01
3256419
AETNA
OH
01
36D1013073
CLIA
OH
01
496672001
ADMINASTAR
OH
01
GU0616324
PIN #
OH
01
P00034377
RAILROAD MEDICARE
OH
Enumeration date
06/09/2005
Last updated
03/07/2023
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