Doctor Name: | DR. TARIKERE P RAJASHEKHAR |
NPI Number: | 1316195761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E4922 |
Business Practice Address: | 11167 Leo Collins Dr El Paso, TX - 799364630 |
Business Phone Number: | 9155925448 |
Business Fax Number: | 9156338044 |
Mailing Address: | 11167 Leo Collins Dr, EL PASO |
State: | TX |
Postal Code: | 799364630 |
Phone Number: | 9155925448 |
Fax Number: | 9156338044 |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E4922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |