MEDICARE: DR. ANAND PREM RAJANI D.O

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	207W00000X	Ophthalmology Physician	OT013796	PA
2	207W00000X	Ophthalmology Physician	OS12787	FL
3	207W00000X	Ophthalmology Physician	82300	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HY036Z	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790097681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAND PREM RAJANI D.O

Provider Business Mailing Address
First Line	:	1773 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1101
Country	:	US
Telephone Number	:	803-328-0168
Fax Number	:

Provider Business Practice Location Address
First Line	:	1773 EBENEZER RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-1101
Country	:	US
Telephone Number	:	803-328-0168
Fax Number	:

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

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	02/05/2020

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