Individual
DR. PRAVEEN B. RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3030 CHILDRENS WAY, SAN DIEGO, CA 92123-4232
(858) 966-5819
Mailing address
3020 CHILDRENS WAY # MC5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
240999
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
C194532
CA
Other
Enumeration date
05/21/2008
Last updated
03/11/2024
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