Provider Demographics
NPI:1114365152
Name:MARCO, RAJNI SANDHU (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJNI
Middle Name:SANDHU
Last Name:MARCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RAJNI
Other - Middle Name:KAUR
Other - Last Name:SANDHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9059 W. LAKE PLEASANT PKWY STE E-540
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382
Mailing Address - Country:US
Mailing Address - Phone:623-322-3380
Mailing Address - Fax:623-322-4399
Practice Address - Street 1:1826 W ARLINGTON BLVD
Practice Address - Street 2:CHILDREN'S HEALTH SERVICES, PA
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5704
Practice Address - Country:US
Practice Address - Phone:252-329-7337
Practice Address - Fax:252-329-1477
Is Sole Proprietor?:No
Enumeration Date:2013-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-01573208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1114365152Medicaid
NC19JGHOtherBCBS OF NC
NC19JGHOtherBCBS OF NC