Basundhara Raj

NPI #1609580067 in Hillsboro, Illinois

Provider Information

NPI Number: 1609580067
Entity Type: Individual
Name: Basundhara Raj
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jan 10, 2023
Last Updated: Sep 2, 2025

Practice Location

Address: 102 W SHORE TER
City: Hillsboro
State: Illinois
ZIP Code: 62049-3208
Phone: (217) 602-8534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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