MEDICARE: RAHUL MAINI

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	2084P0800X	Psychiatry Physician	PTL12110	CA
2	2084P0804X	Child & Adolescent Psychiatry Physician	PTL12110	CA

General Provider Information

NPI Number	:	1831891803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHUL MAINI

Provider Business Mailing Address
First Line	:	400 W MINERAL KING AVE
Second Line	:
City	:	VISALIA
State	:	CA
Zip	:	93291-6237
Country	:	US
Telephone Number	:	559-624-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 E CESAR CHAVEZ BLVD # 319
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93702-3604
Country	:	US
Telephone Number	:	559-600-2382
Fax Number	:

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

Provider Enumeration Date	:	03/21/2023
Last Update Date	:	02/05/2026

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Directions to “ RAHUL MAINI ” Practice Location

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