Provider Demographics
NPI:1235603093
Name:RAJA LOGISTIC GROUP LLC
Entity Type:Organization
Organization Name:RAJA LOGISTIC GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AJAB
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-888-9617
Mailing Address - Street 1:8213 SPRING VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6932
Mailing Address - Country:US
Mailing Address - Phone:469-990-6043
Mailing Address - Fax:
Practice Address - Street 1:8213 SPRING VALLEY LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-6932
Practice Address - Country:US
Practice Address - Phone:469-990-6043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNIQUE MEDICAL TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)