Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 35057684 | OH |
Y | 207RX0202X | Medical Oncology | DR.0055943 | CO |
NPI | 1093765158 |
---|---|
Provider Name | Robert N Raju |
First Address | Dayton, OH 45458-9583 |
Second Address | Dayton, OH 45458-9583 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 23/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0730329 | (05) | OH |
RA0628584 | (02) | OH |