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NPI 1184948119

NPI 1184948119 : GAGANDEEP SINGH RAHI M.D. : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1184948119
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    Entity Type          |    Individual 
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    Provider Name        |    GAGANDEEP SINGH RAHI M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/19/2010
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    Last Update Date     |    04/15/2020
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Provider Practice Location Address
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    Address Line         |    4955 VAN NUYS BLVD STE 502 
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91403-1817
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    Country              |    US
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    Telephone            |    818-325-0200
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    Fax                  |    818-325-0210
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Provider Business Mailing Address
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    Address Line         |    1100 E WILLOW ST 
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    City                 |    SIGNAL HILL
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    State                |    CA
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    Zip                  |    90755-3433
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    Country              |    US
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    Telephone            |    562-981-7896
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    263444
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    A111097
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A111097
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    License Number State |    CA
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