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NR DEVARAJ MD INC NPI 1821175118


NPI Information

NPI: 1821175118
Provider Name: NR DEVARAJ MD INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3356 W. BALL RD SUITE 205
ANAHEIM, CA
ZIP 92804
Phone: (714) 952-0958
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NR DEVARAJ MD INC is a specialist in Anaheim, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NR DEVARAJ MD INC NPI is 1821175118. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3356 W. BALL RD SUITE 205
ANAHEIM, CA
ZIP 92804-737
Phone: (714) 952-0958
Fax: (714) 952-0719

The provider's authorized official is Rosie Frausto .
The authorized official title is Practice Manager and has the following contact phone number (714) 952-0958.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/8/2020.


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
1174400000XSpecialistA34201CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A342010MEDICAIDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.