Individual
RAJIV K TANGRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6424 E BROADWAY RD STE 101, MESA, AZ 85206-1750
(480) 456-9000
Mailing address
PO BOX 7368, ORANGE, CA 92863-7368
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
20A9659
CA
2085R0202X
Diagnostic Radiology Physician
Primary
005524
AZ
2085R0202X
Diagnostic Radiology Physician
20A9659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
567354
—
AZ
Enumeration date
01/26/2007
Last updated
01/23/2019
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