Provider Demographics
NPI:1518270503
Name:FARZAN S. RAJPUT, MD INC
Entity Type:Organization
Organization Name:FARZAN S. RAJPUT, MD INC
Other - Org Name:SOUTHCOAST CARDIOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARZAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAJPUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-870-6668
Mailing Address - Street 1:PO BOX 2716
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-0170
Mailing Address - Country:US
Mailing Address - Phone:949-870-6668
Mailing Address - Fax:949-748-8868
Practice Address - Street 1:280 NEWPORT CENTER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7526
Practice Address - Country:US
Practice Address - Phone:949-870-6668
Practice Address - Fax:949-891-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-19
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty