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1477535680

NPI Code Detail

MEDICARE: RAHUL ARVIND SOMVANSHI MD

MEDICARE: RAHUL ARVIND SOMVANSHI MD

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	2085R0202X	Diagnostic Radiology Physician	2017-00850	NC
2	2085R0202X	Diagnostic Radiology Physician	R0330	TX
3	2085R0202X	Diagnostic Radiology Physician	MD11717	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	AA31529	OTHER		AETNA
5	9352589	OTHER		PHHCS
6	7057393	OTHER		RIMEDICAL ASSISTANCE

General Provider Information

NPI Number	:	1477535680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHUL ARVIND SOMVANSHI MD

Provider Business Mailing Address
First Line	:	2825 OAK LAWN AVE UNIT 192749
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4688
Country	:	US
Telephone Number	:	844-389-5711
Fax Number	:	877-880-2039

Provider Business Practice Location Address
First Line	:	2825 OAK LAWN AVE UNIT 192749
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-4688
Country	:	US
Telephone Number	:	844-389-5711
Fax Number	:	877-880-2039

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	11/21/2024

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Directions to “ RAHUL ARVIND SOMVANSHI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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