RAJA S MAHIDHARA

LAFAYETTE, IN
NPI1689771016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN  01070300A)
Additional Taxonomies208600000X Surgery
(Licence: IN  01070300A)
Enumeration Date2006-09-20
Last Update Date2021-03-11
Business Address
RAJA S MAHIDHARA MD
3900 ST FRANCIS WAY STE 200
LAFAYETTE, IN 47905-4940
Phone number: 765-775-2800
Mailing Address
RAJA S MAHIDHARA MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800