MEDICARE: DR. NEETA C RAJA D.O.

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	OS011084	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1236186	OTHER	PA	ADVANTRA
2	1545241	OTHER	PA	BS GROUP FOR PATEL MED ASSOC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1236186	OTHER	PA	HA/HEALTH ASSURANCE

General Provider Information

NPI Number	:	1689648826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEETA C RAJA D.O.

Provider Business Mailing Address
First Line	:	2409 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4503
Country	:	US
Telephone Number	:	412-886-9803
Fax Number	:	412-886-1918

Provider Business Practice Location Address
First Line	:	2409 BROWNSVILLE RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-4503
Country	:	US
Telephone Number	:	412-886-9803
Fax Number	:	412-886-1918

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	08/05/2021

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Directions to “ DR. NEETA C RAJA D.O.” Practice Location

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