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NPI 1770591463

NPI 1770591463 : PARESH K RAJAJOSHIWALA MD FACS PA : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1770591463
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARESH K RAJAJOSHIWALA MD FACS PA 
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Dates
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    Enumeration Date     |    08/04/2006
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    Last Update Date     |    10/31/2016
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Provider Practice Location Address
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    Address Line         |    18518 HARDY OAK BLVD STE 310
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78258-4759
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    Country              |    US
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    Telephone            |    210-579-0747
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    Fax                  |    210-579-0705
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Provider Business Mailing Address
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    Address Line         |    22 LAKESIDE DR 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78248-1019
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    Country              |    US
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    Telephone            |    210-324-5726
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    Fax                  |    210-579-0705
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. PARESH K RAJAJOSHIWALA 
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    Credential           |    MD
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    Telephone            |    210-324-5726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    L8481
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    License Number State |    TX
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