Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48932 | KY |
N | 111NI0900X | Internist | 48932 | KY |
Y | 207RH0003X | Hematology & Oncology | 48932 | KY |
NPI | 1043508757 |
---|---|
Provider Name | Dr. Naga Praneeth Raja |
First Address | Toledo, OH 43614-2595 |
Second Address | Toledo, OH 43614-2595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2011 |
Last Update Date | 31/01/2017 |