Individual
DR. MANISH TUSHAR RAIJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101248942
VA
2086S0120X
Pediatric Surgery Physician
Primary
036137128
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
09/20/2022
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