Prem Raj, RPT

NPI #1386854792 in Hamtramck, Michigan

Provider Information

NPI Number: 1386854792
Entity Type: Individual
Name: Prem Raj, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: RPT
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11509 SAINT AUBIN ST
City: Hamtramck
State: Michigan
ZIP Code: 48212
Phone: (313) 926-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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