Raj, Kavita
Raj, Kavita is an individual health care provider with primary practice located at 1399 N Baldwin Avenue , Marion IN 46952-7550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raj, Kavita can be contacted via phone (765) 660-7550.Contact Information
Primary practice address
1399 N Baldwin Avenue
Marion IN 46952-7550
Phone: (765) 660-7550
Fax: (765) 662-4467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02001903 | Indiana |
Profile Details
| NPI number | 1669456059 |
|---|---|
| LBN Legal business name | Raj, Kavita |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Oct 19th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669456059 | NPPES |
| Indiana | MEDICAID | 200170890 | |
| Indiana | Other | 000000763629 |
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