| Mir-raj Medical, Inc. | |
|
633 Maple Ave Du Bois PA 15801-2383 | |
| (814) 371-3304 | |
| (814) 371-3305 |
| Full Name | Mir-raj Medical, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 633 Maple Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Raj Yande (PRESIDENT/OWNER) |
| Authorized Official Contact | 8143713304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mir-raj Medical, Inc. 633 Maple Ave Du Bois PA 15801-2383 Ph: (814) 371-3304 | Mir-raj Medical, Inc. 633 Maple Ave Du Bois PA 15801-2383 Ph: (814) 371-3304 |
| NPI Number | 1376713941 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376713941 | NPI | - | NPPES |
| 002004739 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS013788 (Pennsylvania) | Primary |
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