Iraj, Raha
Iraj, Raha is an individual health care provider with primary practice located at 5 Grace Church St Open Door Family Medical Centers, Inc., Port Chester NY 10573-4911. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Iraj, Raha can be contacted via phone (914) 937-8899.Contact Information
Primary practice address
5 Grace Church St Open Door Family Medical Centers, Inc.
Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 049847-1 | New York |
Profile Details
| NPI number | 1760545164 |
|---|---|
| LBN Legal business name | Iraj, Raha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760545164 | NPPES |
| New York | MEDICAID | 02746216 |
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