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Individual

RAHUL MAINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17234 VALLEY BLVD., BLDG. A, GRADUATE MEDICAL EDUCATION-CENTER FOR MEDICAL EDUCATION, FONTANA, CA 92335
(909) 427-5679
Mailing address
17234 VALLEY BLVD., BLDG. A, GRADUATE MEDICAL EDUCATION-CENTER FOR MEDICAL EDUCATION, FONTANA, CA 92335
(909) 427-5679

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A208141
CA
2084P0800X
Psychiatry Physician
PTL12110
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A208141
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
PTL12110
CA
390200000X
Student in an Organized Health Care Education/Training Program
A208141
CA

Other

Enumeration date
03/21/2023
Last updated
04/13/2026
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