Individual
DR. PRASANTA KUMAR RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35041777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000508239
ANTHEM
—
01
—
0119204
GROUP MEDICAID
OH
05
—
0431465
—
OH
01
—
1780634279
GROUP NPI
OH
01
—
9273172
GROUP MEDICARE
OH
01
—
CA4511
GROUP RR MEDICARE
—
01
—
P00610099
RR IND MEDICARE #
OH
Enumeration date
07/05/2006
Last updated
11/29/2012
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