Organization
VIVEK RAJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK RAJ DO (PRESIDENT)
(224) 777-8034
Entity
Organization
Contact information
Practice address
17351 MELFORD BLVD, BOWIE, MD 20715-4457
(240) 548-1300
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8034
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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