Prem Raj, rpt
Specialist in Hamtramck, MI. Individual provider (NPI-1).
NPI number1386854792
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1386854792
- Entity type
- Individual (NPI-1)
- Name
- Prem Raj
- Credential
- rpt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 5501005931 | MI | Yes |
Practice location
11509 Saint Aubin StHamtramck, MI 48212
Phone 313-926-2529
Mailing address
Po Box 71772Madison Hts, MI 48071
Phone 313-926-2529
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