Individual
BALAJ RAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 SOUTHERN BLVD, DAYTON, OH 45429-1298
(937) 384-6800
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59450
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
08/09/2024
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