Provider Demographics
NPI:1497714927
Name:TOOMA, RAJA (MD)
Entity Type:Individual
Prefix:
First Name:RAJA
Middle Name:
Last Name:TOOMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13300 NEW AIRPORT RD
Mailing Address - Street 2:100
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-7407
Mailing Address - Country:US
Mailing Address - Phone:530-823-5300
Mailing Address - Fax:530-823-5301
Practice Address - Street 1:13300 NEW AIRPORT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-7407
Practice Address - Country:US
Practice Address - Phone:530-823-5300
Practice Address - Fax:530-823-5301
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36223207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A362230Medicaid
CAF12522Medicare UPIN