Provider Demographics
NPI:1043051394
Name:RAJJI, TAREK K (MD)
Entity type:Individual
Prefix:DR
First Name:TAREK
Middle Name:K
Last Name:RAJJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TAREK
Other - Middle Name:K
Other - Last Name:ALRAGGI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:72 BYWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M9A1M3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:72 BYWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M9A1M3
Practice Address - Country:CA
Practice Address - Phone:647-409-3005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057749A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty