Individual
SRINIVASA N RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-1822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D21130
MD
208VP0014X
Interventional Pain Medicine Physician
Primary
D21130
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317101900
—
MD
Enumeration date
06/01/2006
Last updated
02/15/2013
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