Raja, Sharath C
Raja, Sharath C is an individual health care provider with primary practice located at 2600 N Mayfair Rd Ste 901, Milwaukee WI 53226-1307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Raja, Sharath C can be contacted via phone (414) 774-3484.Contact Information
Primary practice address
2600 N Mayfair Rd Ste 901
Milwaukee WI 53226-1307
Phone: (414) 774-3484
Fax: (414) 778-3445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 43132 | Wisconsin |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 43132 | Wisconsin |
Profile Details
| NPI number | 1417953829 |
|---|---|
| LBN Legal business name | Raja, Sharath C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1417953829 | NPPES |
| Other | 10664286 | CAQH | |
| MEDICAID | 34098400 | CAQH | |
| Other | 43132 | CAQH | |
| Other | 000000172683 | CAQH |
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