MEDICARE: RAJEEV S KHAMAMKAR MD

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
1	207L00000X	Anesthesiology Physician	8597	NV

General Provider Information

NPI Number	:	1134105547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJEEV S KHAMAMKAR MD

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR
Second Line	:	SUITE #3-777
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6238
Country	:	US
Telephone Number	:	702-340-2700
Fax Number	:	702-242-9505

Provider Business Practice Location Address
First Line	:	10345 HOWLING COYOTE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1119
Country	:	US
Telephone Number	:	702-340-2700
Fax Number	:	702-242-9505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	07/08/2007

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