Provider Demographics
NPI:1477945129
Name:RAI, NAVRAJ (DO)
Entity Type:Individual
Prefix:DR
First Name:NAVRAJ
Middle Name:
Last Name:RAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 RESNIK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5721
Mailing Address - Country:US
Mailing Address - Phone:508-210-5850
Mailing Address - Fax:
Practice Address - Street 1:637 WASHINGTON ST STE 100
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4579
Practice Address - Country:US
Practice Address - Phone:617-798-1600
Practice Address - Fax:617-798-1900
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 14622207Q00000X
MA279127207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine