Provider Demographics
NPI:1427678614
Name:RAJA, DANASH (MD)
Entity type:Individual
Prefix:
First Name:DANASH
Middle Name:
Last Name:RAJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2211 E NORTHERN LIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-279-8486
Mailing Address - Fax:907-677-5614
Practice Address - Street 1:MEDICAL PARK FAMILY CARE
Practice Address - Street 2:2211 E NORTHERN LIGHTS BLVD
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-279-8486
Practice Address - Fax:907-677-5614
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK21007207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine