Individual
RASIB M RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, LEVY GRD FLOOR, PHILADELPHIA, PA 19141
(215) 456-6970
(215) 456-7154
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD031763L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006841480002
—
PA
Enumeration date
04/01/2006
Last updated
07/24/2012
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