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NPI Code Detail

MEDICARE: NAVNEET RAJAN CCRN

MEDICARE: NAVNEET RAJAN CCRN
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
1163WC0200XCritical Care Medicine Registered Nurse95161916CA

General Provider Information

NPI Number : 1487224192
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAVNEET RAJAN CCRN
Provider Business Mailing Address
First Line : 1050 QUARTERMASTER CANYON RD
Second Line :
City : SAN RAMON
State : CA
Zip : 94582-4845
Country : US
Telephone Number : 310-463-7827
Fax Number :
Provider Business Practice Location Address
First Line : 20 E RIVER PARK PL W
Second Line :
City : FRESNO
State : CA
Zip : 93720-1551
Country : US
Telephone Number : 559-256-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2021
Last Update Date : 06/26/2021

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