Individual
DR. RAJEEV GULATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 865-1161
(909) 865-1737
Mailing address
1070 FULLER DR, CLAREMONT, CA 91711-1496
(909) 865-1161
(909) 865-1737
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101256928
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35073175
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G86583
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G865860
—
CA
01
—
0101256928
LICENSE
VA
05
—
1376579664
—
VA
Enumeration date
06/25/2006
Last updated
10/13/2023
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