Provider Demographics
NPI:1336478213
Name:RAJA HOLDING CO., INC.
Entity Type:Organization
Organization Name:RAJA HOLDING CO., INC.
Other - Org Name:DESERT MEDICAL, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-URFALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-599-5036
Mailing Address - Street 1:PO BOX 1107
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37065-1107
Mailing Address - Country:US
Mailing Address - Phone:615-599-5036
Mailing Address - Fax:615-599-4963
Practice Address - Street 1:1428 ADAMS ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3654
Practice Address - Country:US
Practice Address - Phone:615-599-5036
Practice Address - Fax:615-599-4963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies