Provider Demographics
NPI:1942685334
Name:RAJPOOT PSYCHIATRIC SERVICES, LLC
Entity Type:Organization
Organization Name:RAJPOOT PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJPOOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-231-7069
Mailing Address - Street 1:8650 DICE LN
Mailing Address - Street 2:RAJPOOT PSYCHIATRIC SERVICES, LLC
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2497
Mailing Address - Country:US
Mailing Address - Phone:951-231-7069
Mailing Address - Fax:
Practice Address - Street 1:8650 DICE LN
Practice Address - Street 2:RAJPOOT PSYCHIATRIC SERVICES, LLC
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2497
Practice Address - Country:US
Practice Address - Phone:951-231-7069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty