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Individual

SHUBHA RAJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.B.B.S.

Contact information

Practice address
4045 NE LAKEWOOD WAY, SUITE 130, LEES SUMMIT, MO 64064-1799
(816) 886-2184
(816) 886-2397
Mailing address
14611 LINDEN ST, LEAWOOD, KS 66224-7803
(913) 738-6940

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2012032355
MO

Other

Enumeration date
05/15/2007
Last updated
05/24/2013
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