Provider Demographics
NPI:1639516172
Name:KARNANI, DIRAJ R (M D)
Entity Type:Individual
Prefix:
First Name:DIRAJ
Middle Name:R
Last Name:KARNANI
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18419 US HIGHWAY 18 STE 6
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2333
Mailing Address - Country:US
Mailing Address - Phone:760-946-9955
Mailing Address - Fax:760-946-9409
Practice Address - Street 1:18419 US HIGHWAY 18 STE 6
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307
Practice Address - Country:US
Practice Address - Phone:760-946-9955
Practice Address - Fax:760-946-9409
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132960207RR0500X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology