Provider Demographics
NPI:1518092949
Name:RAI, TEJINDERPAL S (MD)
Entity Type:Individual
Prefix:
First Name:TEJINDERPAL
Middle Name:S
Last Name:RAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25550 HAWTHORNE BLVD STE 314
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6832
Mailing Address - Country:US
Mailing Address - Phone:310-373-2585
Mailing Address - Fax:310-373-2587
Practice Address - Street 1:25550 HAWTHORNE BLVD STE 314
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6832
Practice Address - Country:US
Practice Address - Phone:310-373-2585
Practice Address - Fax:310-373-2587
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA717762084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry