Provider Demographics
NPI:1437474780
Name:RAJ H KARNANI MD INC
Entity Type:Organization
Organization Name:RAJ H KARNANI MD INC
Other - Org Name:RAJ H KARNANI MD INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:KARNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-946-0960
Mailing Address - Street 1:18419 HIGHWAY 18
Mailing Address - Street 2:SUITE 1
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307
Mailing Address - Country:US
Mailing Address - Phone:760-946-0960
Mailing Address - Fax:760-946-3946
Practice Address - Street 1:18419 HIGHWAY 18
Practice Address - Street 2:SUITE 1
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-946-0960
Practice Address - Fax:760-949-3946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60870261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1720018484OtherNPI
CA00A60870Medicaid