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NPI Code Detail

MEDICARE: DR. PILL G RAJA M.D.

MEDICARE: DR. PILL G RAJA M.D.
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
1207V00000XObstetrics & Gynecology PhysicianK2565TX

General Provider Information

NPI Number : 1518927656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PILL G RAJA M.D.
Provider Business Mailing Address
First Line : 405 N TOM GREEN
Second Line :
City : ODESSA
State : TX
Zip : 79761
Country : US
Telephone Number : 432-580-9876
Fax Number : 432-580-9877
Provider Business Practice Location Address
First Line : 405 N TOM GREEN AVE
Second Line :
City : ODESSA
State : TX
Zip : 79761-5145
Country : US
Telephone Number : 432-580-9876
Fax Number : 432-580-9877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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