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Dr. Premkumar Raja, MD
Radiation Oncology Physician in Charleston, West Virginia
NPI 1689631442

Premkumar Raja is a Radiation Oncology Physician based in Charlotte, WV and is specialized in Radiation Oncology. Premkumar Raja practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Premkumar Raja is 1689631442 and holds a License No. 21336 (West Virginia).

The current practice location address for Premkumar Raja is 3415 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-1790 and via fax at 304-388-1795.

Location: 3415 Maccorkle Ave Se, Charleston, WV, 28289-6158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689631442
Provider Name
Premkumar Raja
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3415 Maccorkle Ave Se, Charleston, WV, 28289-6158
Phone Number
304-388-1790
Fax Number
304-388-1795
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2006367000 05 WV
institution
Provider Business Practice Location Address Details
Address
3415 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1334
Phone Number
304-388-1790
Fax Number
304-388-1795
person
Provider Business Mailing Address Details
Address
3415 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1334
Phone Number
304-388-1790
Fax Number
304-388-1795
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
21336 (West Virginia)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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