Provider Demographics
NPI:1639167588
Name:TAMPI, RAJESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:
Last Name:TAMPI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10208 ROSALEE LN
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8500
Mailing Address - Country:US
Mailing Address - Phone:203-809-5223
Mailing Address - Fax:
Practice Address - Street 1:2012 TRESURE HILLS BLVD
Practice Address - Street 2:
Practice Address - City:HARLINGENT
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-365-8715
Practice Address - Fax:956-365-8712
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP90112084P0800X
CT0397192084P0800X
OH35.1241312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001397191Medicaid
TX333484901Medicaid
TX344328YK00Medicare PIN
H52413Medicare UPIN
CT260003902Medicare ID - Type Unspecified