MEDICARE: MR. RAJIV TIKOO PANDIT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	L1686	TX

General Provider Information

NPI Number	:	1356317655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAJIV TIKOO PANDIT M.D.

Provider Business Mailing Address
First Line	:	1411 N BECKLEY AVE
Second Line	:	PAV III SUITE 363
City	:	DALLAS
State	:	TX
Zip	:	75203-1259
Country	:	US
Telephone Number	:	214-946-3687
Fax Number	:	214-946-0687

Provider Business Practice Location Address
First Line	:	1411 N BECKLEY AVE
Second Line	:	PAV III SUITE 363
City	:	DALLAS
State	:	TX
Zip	:	75203-1259
Country	:	US
Telephone Number	:	214-946-3687
Fax Number	:	214-946-0687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	05/19/2025

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