Provider Demographics
NPI:1013564715
Name:RAJA, RAMEEZ (DMD)
Entity Type:Individual
Prefix:
First Name:RAMEEZ
Middle Name:
Last Name:RAJA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 SIENNA SPRINGS BLVD APT 815
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7333
Mailing Address - Country:US
Mailing Address - Phone:832-425-3032
Mailing Address - Fax:
Practice Address - Street 1:2600 S KIRKWOOD RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6788
Practice Address - Country:US
Practice Address - Phone:281-496-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35634122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist