Provider Demographics
NPI:1578676755
Name:RAJ, GUNA (MD)
Entity Type:Individual
Prefix:DR
First Name:GUNA
Middle Name:
Last Name:RAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GUNA
Other - Middle Name:S
Other - Last Name:BASAVIAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:17311 DALLAS PKWY
Mailing Address - Street 2:STE 240
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-1150
Mailing Address - Country:US
Mailing Address - Phone:469-759-7999
Mailing Address - Fax:469-758-2272
Practice Address - Street 1:1600 COIT RD
Practice Address - Street 2:STE 209
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6172
Practice Address - Country:US
Practice Address - Phone:469-759-7999
Practice Address - Fax:469-758-2272
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine