Individual provider · Type 1 NPI

Prem Raj, RPT

Specialist · Hamtramck, MI

NPI number 1386854792 Active

Practice location

11509 Saint Aubin St
Hamtramck, MI 48212

Mailing address

PO Box 71772
Madison Heights, MI 48071

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5501005931 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1386854792

Prem Raj, RPT's National Provider Identifier is 1386854792, issued on May 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hamtramck, MI. The record was last updated on Jul 8, 2007.