Individual
DR. SANJAY RAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458
(985) 280-8970
(985) 280-2618
Mailing address
901 GAUSE BLVD STE 100, SLIDELL, LA 70458-2949
(985) 280-8970
(985) 280-2618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L11810R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681881
—
LA
Enumeration date
12/05/2006
Last updated
02/02/2023
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