Organization
DR. M. RAJA AND ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUND C RAJA M.D. (PRESIDENT)
(770) 962-0220
Entity
Organization
Contact information
Practice address
475 PHILIP BLVD, SUITE 201, LAWRENCEVILLE, GA 30045-8732
(770) 962-0220
(770) 962-1566
Mailing address
475 PHILIP BLVD, SUITE 201, LAWRENCEVILLE, GA 30045-8732
(770) 962-0220
(770) 962-1566
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
AUD003681
GA
Other
Enumeration date
08/27/2006
Last updated
06/20/2008
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