Individual
DR. TAHIRA RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3540 SUGARLOAF PKWY STE D04, FREDERICK, MD 21704-7916
(301) 871-5777
Mailing address
3540 SUGARLOAF PKWY STE D04, FREDERICK, MD 21704-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP1000406
DC
152W00000X
Optometrist
Primary
TA2696
MD
Other
Enumeration date
08/01/2019
Last updated
12/05/2020
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