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NPI Code Detail

MEDICARE: DR. KHOZEMA M RAJKOTWALA M.D.

MEDICARE: DR. KHOZEMA M RAJKOTWALA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35067778ROH
2207R00000XInternal Medicine PhysicianC51583CA
3207R00000XInternal Medicine Physician113515NV
4207Q00000XFamily Medicine Physician11315NV
5207R00000XInternal Medicine PhysicianMD60547149WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2V72401OTHERNVMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003878752
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHOZEMA M RAJKOTWALA M.D.
Provider Business Mailing Address
First Line : 2601 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0427
Country : US
Telephone Number : 702-240-8155
Fax Number : 702-240-8161
Provider Business Practice Location Address
First Line : 2601 N TENAYA WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0427
Country : US
Telephone Number : 702-240-8155
Fax Number : 702-240-8161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 08/11/2022

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