Organization
PHYSIATRY CONNECT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISHA RAJA-RAHMAN MD (CEO/OWNER)
(646) 422-9113
Entity
Organization
Contact information
Practice address
1211 MARCONI ST, HOUSTON, TX 77019-4209
(646) 422-9113
(818) 671-2225
Mailing address
1211 MARCONI ST, HOUSTON, TX 77019-4209
(646) 422-9113
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9534
TEXAS MEDICAL LICENSE
TX
Enumeration date
03/07/2019
Last updated
11/05/2019
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