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General NPI Number Information
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NPI Number | 1326042250
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Entity Type | Individual
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Provider Name | RAJESWARI GUNDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1400 E 2ND ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2440
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Country | US
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Telephone | 419-783-3344
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Fax | 419-783-2793
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Provider Business Mailing Address
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Address Line | 1400 E 2ND ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2440
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Country | US
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Telephone | 419-783-3344
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Fax | 419-783-2793
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35056652
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License Number State | OH
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