MEDICARE: RAJI INC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1689283772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAJI INC

Provider Business Mailing Address
First Line	:	350 NATHAN LN N UNIT 239
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55441-6321
Country	:	US
Telephone Number	:	612-987-1439
Fax Number	:

Provider Business Practice Location Address
First Line	:	2639 NICOLLET AVE # 130
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-1629
Country	:	US
Telephone Number	:	612-987-1439
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	HIDO ABDULLEH
Credential	:
Telephone Number	:	612-987-1439

Provider Enumeration Date	:	07/24/2020
Last Update Date	:	07/24/2020

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