MEDICARE: DR. GUNA RAJ 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
1	207R00000X	Internal Medicine Physician	H3146	TX

General Provider Information

NPI Number	:	1578676755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUNA RAJ M.D.

Provider Business Mailing Address
First Line	:	17311 DALLAS PKWY
Second Line	:	STE 240
City	:	DALLAS
State	:	TX
Zip	:	75248-1150
Country	:	US
Telephone Number	:	469-759-7999
Fax Number	:	469-758-2272

Provider Business Practice Location Address
First Line	:	1600 COIT RD
Second Line	:	STE 209
City	:	PLANO
State	:	TX
Zip	:	75075-6172
Country	:	US
Telephone Number	:	469-759-7999
Fax Number	:	469-758-2272

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	03/08/2019

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