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Individual

DR. RAJENDRA K TIWARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 S CENTRAL AVE, #314, GLENDALE, CA 91204-4800
(818) 244-5117
(818) 244-6957
Mailing address
435 ARDEN AVE, STE 380, GLENDALE, CA 91203-1147
(818) 244-5117
(818) 244-6957

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A26099
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A260990
CA
Enumeration date
01/10/2007
Last updated
01/11/2017
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