Organization
THE RAJAPHO COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRASITH RAJAPHO MD (MD OWNER)
(337) 349-1525
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY FL 4, LAFAYETTE, LA 70508-7265
(337) 349-1525
Mailing address
404 BLUEBONNET DR, LAFAYETTE, LA 70508-6956
(337) 349-1525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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