Provider Demographics
NPI:1942398219
Name:WALLIA, RAJNI (MD)
Entity Type:Individual
Prefix:
First Name:RAJNI
Middle Name:
Last Name:WALLIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:575 COAL VALLEY RD
Mailing Address - Street 2:STE 264
Mailing Address - City:CLAIRTON
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3716
Mailing Address - Country:US
Mailing Address - Phone:412-466-2220
Mailing Address - Fax:412-466-4048
Practice Address - Street 1:575 COAL VALLEY RD
Practice Address - Street 2:STE 264
Practice Address - City:CLAIRTON
Practice Address - State:PA
Practice Address - Zip Code:15025-3716
Practice Address - Country:US
Practice Address - Phone:412-466-2220
Practice Address - Fax:412-466-4048
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038478L207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010585890002Medicaid
C33926Medicare UPIN
PA0010585890002Medicaid