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General NPI Number Information
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NPI Number | 1386677938
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Entity Type | Individual
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Provider Name | VINAY RAJA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 2750 CLAY EDWARDS DR STE 215
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3256
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Country | US
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Telephone | 913-574-1050
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Fax | 913-574-1055
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Provider Business Mailing Address
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Address Line | 11300 CORPORATE AVE STE 330
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City | LENEXA
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State | KS
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Zip | 66219-1355
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Country | US
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Telephone |
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Fax |
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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 | 0428985
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01049900A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2002017799
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License Number State | MO
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