Provider Demographics
NPI:1225090939
Name:RAJAJOSHIWALA, PARESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:PARESH
Middle Name:K
Last Name:RAJAJOSHIWALA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 8TH AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2602
Mailing Address - Country:US
Mailing Address - Phone:682-224-3748
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:1866 KELLER PKWY
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3764
Practice Address - Country:US
Practice Address - Phone:682-224-3748
Practice Address - Fax:682-841-0039
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8481208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8GP140OtherBCBS
NM09001239Medicaid
TX1225090939OtherFIRSTCARE
TX179252504Medicaid
TX561004YKT8OtherMEDICARE