Individual
RAJALLA E PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2322 E 22ND ST STE 200, CLEVELAND, OH 44115-3100
(216) 363-2570
(216) 363-7065
Mailing address
PO BOX 932127, CLEVELAND, OH 44193-0008
(216) 363-2570
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101257433
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35-076939
OH
2084P0804X
Child & Adolescent Psychiatry Physician
MD419785
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019052430001
—
PA
Enumeration date
12/12/2006
Last updated
11/16/2021
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