Raje, Poonam
Raje, Poonam is an individual health care provider with primary practice located at 9900 Tamarack Rd , Woodbury MN 55125-3609. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raje, Poonam can be contacted via phone (651) 471-5800.Contact Information
Primary practice address
9900 Tamarack Rd
Woodbury MN 55125-3609
Phone: (651) 471-5800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 45287 | Minnesota |
Profile Details
| NPI number | 1427023654 |
|---|---|
| LBN Legal business name | Raje, Poonam |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1427023654 | NPPES |
| Minnesota | MEDICAID | 398602100 |
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