MEDICARE: PATRICIA RAJ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-16409	NC

General Provider Information

NPI Number	:	1245194737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA RAJ

Provider Business Mailing Address
First Line	:	1500 1ST AVE N UNIT 3
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35203-1866
Country	:	US
Telephone Number	:	205-545-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 PARKVIEW CENTER CIR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-1788
Country	:	US
Telephone Number	:	919-585-5025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	03/19/2026

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Directions to “ PATRICIA RAJ ” Practice Location

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