Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | C1-0010335 | DE |
N | 2084N0600X | Clinical Neurophysiologist | C1-0010335 | DE |
NPI | 1033367578 |
---|---|
Provider Name | Raju Maharjan |
First Address | Seaford, DE 19973-9999 |
Second Address | Seaford, DE 19973-9999 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 02/12/2015 |