MEDICARE: RAJIV BUDDEN 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	207L00000X	Anesthesiology Physician	G84600	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00012198	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G846001	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	G84600	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1508886920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJIV BUDDEN MD

Provider Business Mailing Address
First Line	:	101 S 1ST ST
Second Line	:	SUITE 1000
City	:	BURBANK
State	:	CA
Zip	:	91502-1938
Country	:	US
Telephone Number	:	818-845-6206
Fax Number	:	818-845-9774

Provider Business Practice Location Address
First Line	:	1920 E LOS ANGELES AVE
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-3503
Country	:	US
Telephone Number	:	805-306-8800
Fax Number	:	805-306-8818

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/30/2009

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Directions to “ RAJIV BUDDEN MD” Practice Location

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