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General NPI Number Information
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NPI Number | 1518270503
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Entity Type | Organization
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Legal Business Name | FARZAN S. RAJPUT, MD INC
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 280 NEWPORT CENTER DR SUITE 110
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7526
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Country | US
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Telephone | 949-870-6668
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Fax | 949-891-0910
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Provider Business Mailing Address
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Address Line | PO BOX 2716
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-0170
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Country | US
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Telephone | 949-870-6668
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Fax | 949-748-8868
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Authorized Official
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Title or Position | OWNER
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Name | FARZAN S. RAJPUT
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Credential | MD
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Telephone | 949-870-6668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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