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Individual
RAJENDRA DAHAL
Active
Individual
RAJENDRA DAHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036088655
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136127
—
IA
05
—
0175471
—
IA
05
—
036088655
—
IL
05
—
0510917
—
IA
01
—
08100343
BLUE CROSS BLUE SHIELD
IL
05
—
1136127
—
IA
01
—
55645
WELLMARK
IA
01
—
56266
NORIDIAN
IA
01
—
90937
WELLMARK
IL
01
—
93122
WELLMARK GROUP
IL
Enumeration date
06/09/2005
Last updated
11/21/2019
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