Individual
RAJIV S DAHIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 TX-114 FRONTAGE RD, SUITE 100, TROPHY CLUB, TX 76262
(817) 778-4481
(682) 237-2491
Mailing address
2800 TX-114 FRONTAGE RD, SUITE 100, TROPHY CLUB, TX 76262
(817) 778-4481
(682) 237-2491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J8504
TX
207R00000X
Internal Medicine Physician
J8504
TX
2085R0001X
Radiation Oncology Physician
Primary
J8504
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B1516
MEDICARE
—
01
—
P00015003
RR MEDICARE
TX
Enumeration date
07/13/2005
Last updated
08/25/2022
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