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General NPI Number Information
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NPI Number | 1598893794
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Entity Type | Organization
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Legal Business Name | RAKESH JINDAL M.D. INC
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 462 W PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-3321
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Country | US
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Telephone | 559-781-3931
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Fax | 559-781-7805
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Provider Business Mailing Address
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Address Line | 462 W PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257-3321
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Country | US
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Telephone | 559-781-3931
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Fax | 559-781-7805
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAKESH JINDAL
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Credential | M.D.
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Telephone | 559-781-3931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | ZZZ13218Z
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License Number State | CA
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