Individual
DR. SHANTI RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
961 FRONT ST, UNIONDALE, NY 11553-1646
(516) 481-2232
Mailing address
3284 BERTHA DR, BALDWIN, NY 11510-5001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD444236
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD444326
PA
Other
Enumeration date
06/07/2010
Last updated
03/27/2018
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