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Individual

RAJEEV S. PETHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 TWILIGHT GLEN CT, SPRING, TX 77381-4826
(936) 266-3943
(360) 323-5965
Mailing address
30 TWILIGHT GLEN CT, SPRING, TX 77381-4826
(936) 266-3943
(360) 323-5965

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K0995
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114965233
TX
05
122187107
TX
05
122187110
TX
01
122187115
CSHCN
TX
01
8B8769
BCBSTX
TX
01
8M3087
BCBS
TX
01
8M7297
BCBS
TX
Enumeration date
06/02/2006
Last updated
03/08/2012
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