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NPI Code Detail

MEDICARE: RAJ CLINICS PROFESSIONAL SERVICES CORPORATION

MEDICARE: RAJ CLINICS PROFESSIONAL SERVICES CORPORATION
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1255496329
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAJ CLINICS PROFESSIONAL SERVICES CORPORATION
Provider Business Mailing Address
First Line : 909 LAKEVIEW DR
Second Line :
City : LOGANSPORT
State : IN
Zip : 46947-2208
Country : US
Telephone Number : 574-732-1166
Fax Number : 574-753-4117
Provider Business Practice Location Address
First Line : 8240 NAAB ROAD,
Second Line : SUITE# 155
City : INDIANAPOLIS
State : IN
Zip : 46260-1985
Country : US
Telephone Number : 574-732-1166
Fax Number : 574-753-4117
Authorized Official
Title or Position : PRESIDENT
Name : DR. SITHA GITA KALAPATAPU
Credential : M.D., D.G.O.
Telephone Number : 574-732-1166
Provider Enumeration Date : 12/27/2006
Last Update Date : 10/22/2014

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Directions to “RAJ CLINICS PROFESSIONAL SERVICES CORPORATION ” Practice Location

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