Individual
BHUVANA RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 WATKINS MILL ROAD, KAISER PERMANENTE GAITHERSBURG MEDICAL CENTER, GAITHERSBURG, MD 20879-3301
(240) 632-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13468
NH
207Q00000X
Family Medicine Physician
Primary
D66271
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413186000
—
MD
05
—
451601000
—
MD
01
—
P00433444
RAILROAD
MD
Enumeration date
06/11/2007
Last updated
12/06/2012
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