Raj Vashistha MD

NPI 1033436977 - Internal Medicine - 207R00000X

NPI Details
NPI 1033436977
Gender Male
Enumeration Date 05/03/2010
Last Updated 05/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2109 W POLK ST
APT 2
CHICAGO IL, 60612-4491, US
Phone (312) 450-4422
Fax
Business Location
2109 W POLK ST
APT 2
CHICAGO IL, 60612-4491, US
Phone (312) 450-4422
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 125052659
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According to our database, Dr. Raj Vashistha MD NPI is 1033436977, taxonomy code is 207R00000X and license number is 125052659, license state is located at Illinois. Raj Vashistha MD physically located at 2109 W Polk St, Chicago IL, 60612-4491. NPI Number Raj Vashistha MD has the Individual type.

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1033436977 NPI number is provided on an as is basis without warranty of any kind. 1033436977 is maintained by the National Plan & Provider Enumeration System. The contents of Raj Vashistha MD are for informational purposes only.