Provider Demographics
NPI:1194838292
Name:RAJANI, KRISHNAKUMAR B (MD)
Entity type:Individual
Prefix:DR
First Name:KRISHNAKUMAR
Middle Name:B
Last Name:RAJANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7624 N MARKS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0262
Mailing Address - Country:US
Mailing Address - Phone:209-579-5628
Mailing Address - Fax:209-579-5637
Practice Address - Street 1:2823 FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1324
Practice Address - Country:US
Practice Address - Phone:209-579-5628
Practice Address - Fax:209-579-5637
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA325372080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A325370Medicare UPIN