Individual
RAJU SHRESTHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5233 KING AVE STE 208, ROSEDALE, MD 21237-4003
(410) 918-1525
Mailing address
5233 KING AVE STE 208, ROSEDALE, MD 21237-4003
(443) 248-9545
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0007502
MD
Other
Enumeration date
07/12/2020
Last updated
10/16/2020
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