MEDICARE: DR. FARIAL RAWJI 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	MD035815L	PA

General Provider Information

NPI Number	:	1821084484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARIAL RAWJI M.D

Provider Business Mailing Address
First Line	:	1432 LINCOLN WAY
Second Line	:	SUITE 101
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1600
Country	:	US
Telephone Number	:	412-672-3633
Fax Number	:	412-672-3810

Provider Business Practice Location Address
First Line	:	1432 LINCOLN WAY
Second Line	:	SUITE 101
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1600
Country	:	US
Telephone Number	:	412-672-3633
Fax Number	:	412-672-3810

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

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	12/12/2011

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