Individual
DR. AMIRTHARAJ DHANARAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 207-4100
Mailing address
8410 153RD AVE APT 6F, HOWARD BEACH, NY 11414-1908
(240) 316-5849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-12470
AR
Other
Enumeration date
04/29/2016
Last updated
07/17/2019
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