Individual
DR. RAJENDRA P NIRAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W GONZALES RD, SUITE 300, OXNARD, CA 93036-3072
(805) 278-9094
(805) 278-8918
Mailing address
1200 W GONZALES RD, SUITE 300, OXNARD, CA 93036-3072
(805) 278-9094
(805) 278-8918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089409
OH
207R00000X
Internal Medicine Physician
A106860
CA
207RN0300X
Nephrology Physician
Primary
A106860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110039977
MEDICARE RAILROAD
CA
01
—
ZZZ34679Z
BLUE CROSS
CA
05
—
ZZZ75566Z
—
CA
Enumeration date
06/07/2007
Last updated
11/18/2015
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