Individual
VIVEK RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17351 MELFORD BLVD, BOWIE, MD 20715-4457
(240) 548-1300
Mailing address
7156 TRANQUILITY RD, LAUREL, MD 20723-2098
(919) 597-1118
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
34.013937
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H97600
MD
208100000X
Physical Medicine & Rehabilitation Physician
OP61113387
WA
Other
Enumeration date
06/13/2015
Last updated
08/30/2023
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