Provider Demographics
NPI:1841254703
Name:TREHAN, RAJEEV RATAN (MBBS, MD, MPH)
Entity type:Individual
Prefix:
First Name:RAJEEV
Middle Name:RATAN
Last Name:TREHAN
Suffix:
Gender:M
Credentials:MBBS, MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 INNSBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-1985
Mailing Address - Country:US
Mailing Address - Phone:785-856-2813
Mailing Address - Fax:785-856-2813
Practice Address - Street 1:2200 SW GAGE BLVD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622-0001
Practice Address - Country:US
Practice Address - Phone:785-350-4308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD284832084N0400X, 2084P0800X
MI0456212084N0400X, 2084P0800X
IL0360684982084N0400X, 2084P0800X
CT0258112084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry