MEDICARE: DR. RAJIV PERINBASEKAR 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
1	207RG0100X	Gastroenterology Physician	70073	TN
2	2085R0202X	Diagnostic Radiology Physician	292835	NY
3	207R00000X	Internal Medicine Physician	70073	TN
4	207R00000X	Internal Medicine Physician	0101280697	VA
5	207R00000X	Internal Medicine Physician	292835	NY
6	207RG0100X	Gastroenterology Physician	0101280697	VA

General Provider Information

NPI Number	:	1801281738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJIV PERINBASEKAR M.D.

Provider Business Mailing Address
First Line	:	667 STONELEIGH AVE
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-278-5223
Fax Number	:

Provider Business Practice Location Address
First Line	:	667 STONELEIGH AVE
Second Line	:
City	:	CARMEL
State	:	NY
Zip	:	10512-2454
Country	:	US
Telephone Number	:	845-278-5223
Fax Number	:

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

Provider Enumeration Date	:	03/28/2015
Last Update Date	:	12/19/2025

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