Provider Demographics
NPI:1659669257
Name:VEKARIYA, RAJ (DDS)
Entity Type:Individual
Prefix:
First Name:RAJ
Middle Name:
Last Name:VEKARIYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:RAJKIRAN
Other - Middle Name:
Other - Last Name:VEKARIYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 WASHINGTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2583
Mailing Address - Country:US
Mailing Address - Phone:724-300-3700
Mailing Address - Fax:
Practice Address - Street 1:4000 WASHINGTON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2583
Practice Address - Country:US
Practice Address - Phone:724-300-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-16
Last Update Date:2014-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038834122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist