Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Atif Raja

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1477083806

Dr. Atif Raja is a Pathology in Marion, Illinois. Qualified in 2010, 16 years ago. Practices with Southern Illinois Gi Specialists LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2017

Practice location Address checks out

3333 W Deyoung St
Marion, IL 62959-5884
Phone: (210) 617-4445
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 E North Ave, Pittsburgh, PA 15212-4756 — (412) 359-6037

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036.158966 (IL)

Record details

NPI number1477083806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 18, 2017
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022
Mailing address6918 Camp Bullis Rd, San Antonio, TX 78256-2236

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southern Illinois Gi Specialists Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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