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General NPI Number Information
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NPI Number | 1619188489
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES, PC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 214-22 73RD AVENUE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364
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Country | US
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Telephone | 631-361-2960
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Fax | 631-361-2966
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Provider Business Mailing Address
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Address Line | 214-22 73RD AVENUE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364
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Country | US
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Telephone | 631-361-2960
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Fax | 631-361-2966
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJESH RAINA
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Credential | MD
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Telephone | 631-361-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number |
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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Taxonomy #9
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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