Organization
MIRAJA MD PA INC
Active
Other names
MIRAJA MD PA INC
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ISHTIAQ RAJA MD (OWNER)
(804) 441-9000
Entity
Organization
Contact information
Practice address
4612 BROOKEMERE DR, GLEN ALLEN, VA 23060-6504
(804) 441-9000
(804) 522-1533
Mailing address
4612 BROOKEMERE DR, GLEN ALLEN, VA 23060-6504
(804) 503-6650
(804) 522-1533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
08/30/2024
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