| Doctor Name: | DR. HERAGANAHALLY N SUNDAR RAJ |
| NPI Number: | 1922306497 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD 4121 |
| Business Practice Address: | 1221 N Decatur Blvd Ste 5 Las Vegas, NV - 891082497 |
| Business Phone Number: | 7027853005 |
| Business Fax Number: | |
| Mailing Address: | 1221 N. Decatur Blvd, Ste 5 LAS VEGAS |
| State: | NV |
| Postal Code: | 891082497 |
| Phone Number: | 7027853005 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2011 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD 4121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |