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Organization
RAJNIKANT KUSHWAHA MD PA
Active
Organization
RAJNIKANT KUSHWAHA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJNIKANT KUSHWAHA MD (PHYSICIAN)
(936) 273-4666
Entity
Organization
Contact information
Practice address
150 PINE FOREST DR STE 604, SHENANDOAH, TX 77384-5304
(936) 273-4666
(936) 271-4666
Mailing address
150 PINE FOREST DR, SUITE 604, SHENANDOAH, TX 77384-5302
(936) 273-4666
(936) 271-4666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K7323
TX
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158357701
—
TX
01
—
P00001133
MEDICARE RAILROAD
TX
Enumeration date
10/30/2007
Last updated
08/15/2022
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