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RAJESH MARIWALLA MD PC NPI 1457741035


NPI Information

NPI: 1457741035
Provider Name: RAJESH MARIWALLA, MD PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1175 MONTAUK HWY
SUITE 4
WEST ISLIP, NY
ZIP 11795
Phone: (631) 422-9600
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RAJESH MARIWALLA, MD PC is a pediatrics in West Islip, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RAJESH MARIWALLA, MD PC NPI is 1457741035. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1175 MONTAUK HWY
SUITE 4
WEST ISLIP, NY
ZIP 11795-939
Phone: (631) 422-9600
Fax: (631) 422-9697

The provider's authorized official is Rajesh Mariwalla .
The authorized official title is Md and has the following contact phone number (631) 422-9600.

The enumeration date for this NPI number is 2/3/2015 and was last updated on 2/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics217202NEW YORKNo
2208000000XPediatrics209194NEW YORKNo
3363A00000XPhysician Assistant008888NEW YORKNo
4208000000XPediatrics153786NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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