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NPI Code Detail

MEDICARE: KULSUM RAJA REGISTERED DIETITIAN

MEDICARE: KULSUM RAJA REGISTERED DIETITIAN
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
1133V00000XRegistered DietitianDT82280TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407589104
Entity Type Code : Individual
Provider Name (Legal Business Name) : KULSUM RAJA REGISTERED DIETITIAN
Provider Business Mailing Address
First Line : 17322 MEADOW LIGHT DR
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 SHORELINE DR STE 120
Second Line :
City : DENTON
State : TX
Zip : 76210-0130
Country : US
Telephone Number : 940-383-1240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2022
Last Update Date : 07/08/2022

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Directions to “ KULSUM RAJA REGISTERED DIETITIAN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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