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Individual

RAJESH K DAVDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
39500 LIBERTY ST, FREMONT, CA 94538-2211
(510) 770-8040
(510) 770-8141
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
(510) 770-8141

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C144439
CA
207RN0300X
Nephrology Physician
H4268
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10026302
AMERIGROUP
05
125287604
TX
01
1633534
UNISYS LOUISIANA MEDICAID
01
390006463
MEDICARE RAILROAD
01
4637227
AETNA
01
834774
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/08/2006
Last updated
11/19/2024
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