Provider Demographics
NPI:1891949681
Name:DABAS, RAJENDER SINGH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RAJENDER
Middle Name:SINGH
Last Name:DABAS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4477 W 118TH STREET
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2258
Mailing Address - Country:US
Mailing Address - Phone:310-644-9515
Mailing Address - Fax:310-644-3629
Practice Address - Street 1:4477 W 118TH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2255
Practice Address - Country:US
Practice Address - Phone:310-644-9515
Practice Address - Fax:310-644-3629
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA20052363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant