MEDICARE: RAJAA NAHRA MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	211096	MA

General Provider Information

NPI Number	:	1124021415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJAA NAHRA MD

Provider Business Mailing Address
First Line	:	10005 S GLEN RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4131
Country	:	US
Telephone Number	:	603-557-8446
Fax Number	:

Provider Business Practice Location Address
First Line	:	10005 S GLEN RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-4131
Country	:	US
Telephone Number	:	603-557-8446
Fax Number	:

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/04/2015

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