Individual
RAJA SHEKAR RAO JADAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
2464 HOFFMAN ST APT 5, BRONX, NY 10458-6092
(510) 386-5758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14524A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2019
Last updated
11/04/2022
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