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1689631442
PREMKUMAR RAJA
CHARLESTON, WV
NPI
1689631442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
(Licence: WV 21336)
Enumeration Date
2006-04-27
Last Update Date
2021-06-23
Business Address
DR. PREMKUMAR RAJA MD
3415 MACCORKLE AVE SE
CHARLESTON, WV 25304-1334
Phone number: 304-388-1790
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Mailing Address
DR. PREMKUMAR RAJA MD
PO BOX 896158
CHARLOTTE, NC 28289-6158
Phone number: 304-388-1790
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