Provider Demographics
NPI:1104187566
Name:RAJPAL, AMAN
Entity Type:Individual
Prefix:
First Name:AMAN
Middle Name:
Last Name:RAJPAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7677 OAKPORT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1929
Mailing Address - Country:US
Mailing Address - Phone:347-705-3477
Mailing Address - Fax:
Practice Address - Street 1:7677 OAKPORT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1929
Practice Address - Country:US
Practice Address - Phone:347-705-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA178412207RE0101X, 207RE0101X
OH130378207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism