Raj Clinics Professional Services Corporation | |
315 Airport North Office Park Fort Wayne IN 46825-6703 | |
(574) 732-1166 | |
(574) 753-4117 |
Full Name | Raj Clinics Professional Services Corporation |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 315 Airport North Office Park, Fort Wayne, Indiana |
Authorized Official Name and Position | Sitha Gita Kalapatapu (PRESIDENT) |
Authorized Official Contact | 5747321166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Raj Clinics Professional Services Corporation 909 Lakeview Dr Logansport IN 46947-2208 Ph: (574) 732-1166 | Raj Clinics Professional Services Corporation 315 Airport North Office Park Fort Wayne IN 46825-6703 Ph: (574) 732-1166 |
NPI Number | 1013072180 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 10/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013072180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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