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Individual

RAJAN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
850 FAIR OAKS AVE STE 100, ARROYO GRANDE, CA 93420-3929
(805) 547-2224
(805) 547-2228
Mailing address
850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420-3929
(805) 547-2224
(805) 474-5276

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A133181
CA
2084N0400X
Neurology Physician
R72319
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100248724
BLUE SHIELD
CA
01
P01513827
RAILROAD MEDICARE
CA
Enumeration date
06/30/2010
Last updated
11/03/2023
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