Provider Demographics
NPI:1922307495
Name:RAJU, ANITA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:RAJU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 POPHAM RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3709
Mailing Address - Country:US
Mailing Address - Phone:914-723-3443
Mailing Address - Fax:914-722-6583
Practice Address - Street 1:7 POPHAM RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3709
Practice Address - Country:US
Practice Address - Phone:914-723-3443
Practice Address - Fax:914-722-6583
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist