Doctor Name: | RAJ MAHTANI |
NPI Number: | 1013366293 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 261474424 |
Business Practice Address: | 1020 W Golf Rd Hoffman Estates, IL - 601691340 |
Business Phone Number: | 8474131611 |
Business Fax Number: | |
Mailing Address: | 1020 W Golf Rd, HOFFMAN ESTATES |
State: | IL |
Postal Code: | 601691340 |
Phone Number: | 8474131611 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2016 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 261474424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |