Provider Demographics
NPI:1750050431
Name:LEKHRAM, RAJEEV SINGH (PA-C)
Entity Type:Individual
Prefix:
First Name:RAJEEV
Middle Name:SINGH
Last Name:LEKHRAM
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2922 WILLIAMSBRIDGE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-8604
Mailing Address - Country:US
Mailing Address - Phone:646-683-3427
Mailing Address - Fax:
Practice Address - Street 1:2922 WILLIAMSBRIDGE RD APT 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-8604
Practice Address - Country:US
Practice Address - Phone:646-683-3427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty