Individual
DR. RAJU FATEHCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
1930 TAMARACK RD, NEWARK, OH 43055-2303
(740) 522-7600
Mailing address
8645 MALLARD CIR, PLAIN CITY, OH 43064-6004
(740) 616-0403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.095392
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055312
—
OH
Enumeration date
03/29/2006
Last updated
04/04/2013
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