Provider Demographics
NPI:1760649289
Name:NAMBIAR, RAJESH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:
Last Name:NAMBIAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 POINT WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2193
Mailing Address - Country:US
Mailing Address - Phone:806-510-4244
Mailing Address - Fax:806-510-7211
Practice Address - Street 1:1660 POINT WEST PKWY
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2193
Practice Address - Country:US
Practice Address - Phone:806-510-4244
Practice Address - Fax:806-510-7211
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2680207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L10564Medicare PIN