Raghuwanshi, Maya P

Raghuwanshi, Maya P is an individual health care provider with primary practice located at 90 Bergen St Doc 4500, Newark NJ 07103-2425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Raghuwanshi, Maya P can be contacted via phone (973) 972-2500.

Contact Information

Primary practice address
90 Bergen St Doc 4500 Newark NJ 07103-2425
Phone: (973) 972-2500
Fax: (973) 972-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA04198200 New Jersey

Profile Details

NPI number 1235216557
LBN Legal business name Raghuwanshi, Maya P
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235216557 NPPES
New Jersey MEDICAID 3760103

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