Individual
DR. KHOZEMA M RAJKOTWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 240-8155
(702) 240-8161
Mailing address
2601 N TENAYA WAY, LAS VEGAS, NV 89128-0427
(702) 240-8155
(702) 240-8161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11315
NV
207R00000X
Internal Medicine Physician
Primary
113515
NV
207R00000X
Internal Medicine Physician
35067778R
OH
207R00000X
Internal Medicine Physician
C51583
CA
207R00000X
Internal Medicine Physician
MD60547149
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003878752
—
NV
01
—
V72401
MEDICARE
NV
Enumeration date
04/06/2006
Last updated
08/11/2022
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