Most Relevant Information
Provider Data
| NPI Number: | 1003254806 |
| Provider Name: | SUJA RAJU M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 2017-01238 |
Most Important Dates
| Enumeration Date: | 06/13/2013 |
| Last Updated: | 03/02/2022 |
Provider Practice Location
766 HARTNESS RD
STATESVILLE
NC
286773479
Practice Location Phone/Fax
| Phone: | 7043803620 |
| Fax: |
Provider Mailing Location
200 E 2ND AVE
GASTONIA
NC
280524358
Provider Mailing Phone/Fax
| Phone: | 7048741900 |
| Fax: |
Suggested EMR
Psychiatry EMR