Individual
RAJEEV K MATHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 S MCCOLL RD, EDINBURG, TX 78539-5503
(956) 362-8677
(956) 362-7253
Mailing address
PO BOX 5958, MCALLEN, TX 78502-5958
(956) 362-8677
(956) 362-7253
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
N0953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200488902
—
TX
05
—
200488903
—
TX
01
—
8CH870
BCBS
TX
01
—
P00920362
RAILROAD MEDICARE NO.
TX
Enumeration date
07/20/2006
Last updated
11/10/2023
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