PREMKUMAR RAJA

CHARLESTON, WV
NPI1689631442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: WV  21336)
Enumeration Date2006-04-27
Last Update Date2021-06-23
Business Address
Dr. PREMKUMAR RAJA MD
3415 MACCORKLE AVE SE
CHARLESTON, WV 25304-1334
Phone number: 304-388-1790
Mailing Address
Dr. PREMKUMAR RAJA MD
PO BOX 896158
CHARLOTTE, NC 28289-6158
Phone number: 304-388-1790
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