Raja, Mukund C
Raja, Mukund C is an sole proprietor health care provider with primary practice located at 475 Philip Blvd Suite 201, Lawrenceville GA 30046-8737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Raja, Mukund C can be contacted via phone (770) 962-0220.Contact Information
Primary practice address
475 Philip Blvd Suite 201
Lawrenceville GA 30046-8737
Phone: (770) 962-0220
Fax: (770) 962-1566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 026028 | Georgia |
Profile Details
| NPI number | 1871601229 |
|---|---|
| LBN Legal business name | Raja, Mukund C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Sep 3rd, 2014 - about 11 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 | 1871601229 | NPPES |
| Georgia | MEDICAID | 00302541A |
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