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Individual

DR. FARIDA RAJPUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1351 E KIMBERLY RD, STE 200, BETTENDORF, IA 52722
(563) 441-1998
(563) 441-1729
Mailing address
1351 E KIMBERLY RD, STE 200, BETTENDORF, IA 52722
(563) 441-1998
(563) 441-1729

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036063878
IL
2085R0001X
Radiation Oncology Physician
Primary
22276
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091215830
BCBS ILLINOIS
IL
05
0211433
IA
01
920002605
RR PROVIDER
Enumeration date
02/01/2006
Last updated
10/18/2007
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