Individual
JOASH AJAY RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3152 PORT SHELDON ST, SUITE C, HUDSONVILLE, MI 49426-9297
(616) 669-9238
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080648
MI
Other
Enumeration date
10/07/2005
Last updated
02/19/2021
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