Raha, Bandana

Raha, Bandana is an sole proprietor health care provider with primary practice located at 550 Newark Ave Ste 307, Jersey City NJ 07306-1353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Raha, Bandana can be contacted via phone (201) 963-0090.

Contact Information

Primary practice address
550 Newark Ave Ste 307 Jersey City NJ 07306-1353
Fax: (201) 963-0355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X New Jersey

Profile Details

NPI number 1558365239
LBN Legal business name Raha, Bandana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jul 24th, 2007 - about 17 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 1558365239 NPPES
New Jersey MEDICAID 5475805

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