Provider Demographics
NPI:1386233401
Name:THAPA MAGAR, RAJU
Entity type:Individual
Prefix:
First Name:RAJU
Middle Name:
Last Name:THAPA MAGAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4520 16TH AVE S APT 208
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3268
Mailing Address - Country:US
Mailing Address - Phone:701-730-8432
Mailing Address - Fax:
Practice Address - Street 1:4520 16TH AVE S APT 208
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-3268
Practice Address - Country:US
Practice Address - Phone:701-730-8432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant