Provider Demographics
NPI:1225011299
Name:DUBEY, RAJESH KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:RAJESH
Middle Name:KUMAR
Last Name:DUBEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3621 FOREST GLENN DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-1339
Mailing Address - Country:US
Mailing Address - Phone:209-521-9661
Mailing Address - Fax:209-521-9307
Practice Address - Street 1:3621 FOREST GLENN DR
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-1339
Practice Address - Country:US
Practice Address - Phone:209-521-9661
Practice Address - Fax:209-521-9307
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2016-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA83527207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1902828841Medicaid
CAZZZ23413ZMedicare PIN