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1720645963
PAUL KODUVATH RAJAN
NORTON, VA
NPI
1720645963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0116032605)
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
PAUL KODUVATH RAJAN MD
100 15TH ST NW
NORTON, VA 24273-1616
Phone number: 276-439-1000
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Mailing Address
PAUL KODUVATH RAJAN MD
6717 CROOKED STICK DR
FORT WORTH, TX 76132-4527
Phone number: 817-361-1810
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