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NPI Code Detail

MEDICARE: DR. RAFAL LESZEK SOSNOWSKI D.O.

MEDICARE: DR. RAFAL LESZEK SOSNOWSKI D.O.
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
12085R0202XDiagnostic Radiology Physician20A10475CA
22085R0202XDiagnostic Radiology Physician90367GA
32085R0202XDiagnostic Radiology Physician036-118062IL
42085R0202XDiagnostic Radiology PhysicianOP61676968WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20020A 104750OTHERCABS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699941039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAL LESZEK SOSNOWSKI D.O.
Provider Business Mailing Address
First Line : 39000 BOB HOPE DR
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-674-3613
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 01/05/2026

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