Organization
SENTHIL RAJU, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SENTHIL RAJU M.D. (OWNER)
(405) 513-4591
Entity
Organization
Contact information
Practice address
700 S. TELEPHONE ROAD, MOORE, OK 73160
(405) 682-8383
(405) 682-8044
Mailing address
4101 N.E. 119TH STREET, OKLAHOMA CITY, OK 73101
(405) 682-8383
(405) 682-8044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26716
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
TAXONOMY
OK
Enumeration date
10/15/2011
Last updated
11/28/2011
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