Individual
DR. RAJESH DEVRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
3232 55TH ST, SUITE 2, WOODSIDE, NY 11377-1930
(347) 724-4841
Mailing address
3232 55TH ST, SUITE 2, WOODSIDE, NY 11377-1930
(347) 724-4841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUVOO6130-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02575042
—
NY
Enumeration date
01/16/2006
Last updated
07/09/2007
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