MEDICARE: RAAJNA NAIDU

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1467997049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAAJNA NAIDU

Provider Business Mailing Address
First Line	:	613 BARRON WAY
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94544-6801
Country	:	US
Telephone Number	:	510-259-8578
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 29TH AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2106
Country	:	US
Telephone Number	:	510-268-8120
Fax Number	:

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

Provider Enumeration Date	:	01/05/2017
Last Update Date	:	03/20/2019

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Directions to “ RAAJNA NAIDU ” Practice Location

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