Individual
SUJATHA RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 FIRE MESA ST STE 110, LAS VEGAS, NV 89128-9034
(702) 853-0090
(702) 853-0096
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11750
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509262
—
NV
05
—
1992740567
—
NV
05
—
235419
—
AZ
Enumeration date
06/18/2006
Last updated
05/16/2024
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