Organization
RAJ LUNG CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRIDHAR RAJAMANI MD (OWNER)
(928) 317-9100
Entity
Organization
Contact information
Practice address
2400 S AVE A, YUMA, AZ 85364-7127
(928) 317-9100
Mailing address
PO BOX 6935, YUMA, AZ 85366-6935
(928) 317-9100
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
29371
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
29371
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
595845
—
AZ
Enumeration date
11/09/2006
Last updated
10/29/2020
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