Individual
RAJ KUHAN JAYANTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390
(214) 648-3111
Mailing address
2929 OAK LAWN AVE APT 643, DALLAS, TX 75219-5708
(561) 676-4775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U5135
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
U5135
TX
390200000X
Student in an Organized Health Care Education/Training Program
J535-731-89-447-0
FL
Other
Enumeration date
03/26/2016
Last updated
01/25/2024
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