Provider Demographics
NPI:1154776771
Name:MURTHY, RAJ DHARMA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:RAJ
Middle Name:DHARMA
Last Name:MURTHY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 LAMBERT RDG
Mailing Address - Street 2:
Mailing Address - City:CROSS RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10518-1125
Mailing Address - Country:US
Mailing Address - Phone:646-939-9401
Mailing Address - Fax:
Practice Address - Street 1:65 E 96TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0776
Practice Address - Country:US
Practice Address - Phone:646-989-4887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3059902081P2900X
CT688962081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty