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1174265284

NPI Code Detail

MEDICARE: MAIDAH NASIR RAJA MD

MEDICARE: MAIDAH NASIR RAJA 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	208M00000X	Hospitalist Physician	D0106395	MD
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207R00000X	Internal Medicine Physician	D0106395	MD

General Provider Information

NPI Number	:	1174265284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAIDAH NASIR RAJA MD

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-4486
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-4486
Fax Number	:

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

Provider Enumeration Date	:	04/09/2022
Last Update Date	:	05/26/2026

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Directions to “ MAIDAH NASIR RAJA MD” Practice Location

Language	Start Address	Practice Location

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