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1841455235

NPI Code Detail

MEDICARE: RAJEEV WADIA MD

MEDICARE: RAJEEV WADIA 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	207LP3000X	Pediatric Anesthesiology Physician	D0072210	MD
2	208000000X	Pediatrics Physician	A101744	CA
3	207LP3000X	Pediatric Anesthesiology Physician	A101744	CA

General Provider Information

NPI Number	:	1841455235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJEEV WADIA MD

Provider Business Mailing Address
First Line	:	4150 V STREET, PSSB BUILDING SUITE 1200
Second Line	:	DEPARTMENT OF ANESTHESIA
City	:	SACRAMENTO
State	:	CA
Zip	:	95817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 X ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2214
Country	:	US
Telephone Number	:	916-734-2011
Fax Number	:

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

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	11/30/2022

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Directions to “ RAJEEV WADIA MD” Practice Location

Language	Start Address	Practice Location

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