Individual
DR. RAJ VISWANADH VEGESNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1217 KEARNEY STREET, STE 2, PORT HURON, MI 48060
(810) 990-8302
(810) 990-8402
Mailing address
1217 KEARNEY STREET, STE 2, PORT HURON, MI 48060
(810) 990-8302
(810) 990-8402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094437
MI
208M00000X
Hospitalist Physician
Primary
43010944377
MI
Other
Enumeration date
09/14/2009
Last updated
04/10/2024
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