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Individual
PIYUSH K. RAJURKAR
Active
Individual
PIYUSH K. RAJURKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
44292-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800323
PRIMECARE
WI
01
—
180046200
RR MEDICARE
WI
05
—
34192700
—
WI
01
—
391484998
TAX ID
WI
01
—
391484998011
BC/CCARE
WI
Enumeration date
10/05/2005
Last updated
03/05/2019
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