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Individual

DR. SHAILAJA KS RAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1871 MCCAULEY RD, CLEARWATER, FL 33765-1512
(813) 992-3519
Mailing address
1871 MCCAULEY RD, CLEARWATER, FL 33765-1512
(813) 992-3519
(727) 953-7668

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME99436
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280629100
FL
01
P00663692
RR MEDICARE
FL
Enumeration date
01/26/2007
Last updated
01/20/2016
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