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Individual

DR. HARISH RAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5858 SW 68TH ST, SOUTH MIAMI, FL 33143-3693
(305) 661-8588
Mailing address
5858 SW 68TH ST, SOUTH MIAMI, FL 33143-3693
(305) 661-8588

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME138112
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
FL
Enumeration date
06/25/2012
Last updated
01/07/2020
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