Provider Demographics
NPI:1720018484
Name:KARNANI, RAJAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJAN
Middle Name:H
Last Name:KARNANI
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 1:18419 US HIGHWAY 18, SUITE 1
Mailing Address - Street 2:
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 US HIGHWAY 18, SUITE 1
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:760-946-0960
Practice Address - Fax:760-946-3946
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60870174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00002846OtherBUSINESS LIC.
CAA60870OtherMD LIC.
CA00A608701Medicaid
CA00A608701Medicaid
CABK5109649OtherDEA
CAG99999Medicare UPIN