Healthcare Provider Details

I. General information

NPI: 1306520978
Provider Name (Legal Business Name): RAGHINI ESTHER PAULINA RAJA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHER PAULINA RAJA MD

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 GRAND CONCOURSE
BRONX NY
10453-4303
US

IV. Provider business mailing address

2219 RIMLAND DR STE 301
BELLINGHAM WA
98226-8759
US

V. Phone/Fax

Practice location:
  • Phone: 718-583-7736
  • Fax: 718-537-6180
Mailing address:
  • Phone: 855-722-9700
  • Fax: 844-222-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number70132211
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number60-P112917
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: