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
Fax: (765) 662-4467
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669456059 NPPES
Indiana MEDICAID 200170890
Indiana Other 000000763629

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