MEDICARE: DR. RAJESH BELANI 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	207RH0003X	Hematology & Oncology Physician	A77944	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A77944	OTHER	CA	MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1578509113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH BELANI M.D.

Provider Business Mailing Address
First Line	:	3075 HEALTH CENTER DR
Second Line	:	SUITE 102
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2773
Country	:	US
Telephone Number	:	858-637-7888
Fax Number	:	858-637-7887

Provider Business Practice Location Address
First Line	:	3075 HEALTH CENTER DR
Second Line	:	SUITE 102
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2773
Country	:	US
Telephone Number	:	858-637-7888
Fax Number	:	858-637-7887

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/18/2012

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