Provider Demographics
NPI:1316195761
Name:RAJASHEKHAR, TARIKERE P (MD)
Entity type:Individual
Prefix:DR
First Name:TARIKERE
Middle Name:P
Last Name:RAJASHEKHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11167 LEO COLLINS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4630
Mailing Address - Country:US
Mailing Address - Phone:915-592-5448
Mailing Address - Fax:915-633-8044
Practice Address - Street 1:11167 LEO COLLINS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4630
Practice Address - Country:US
Practice Address - Phone:915-592-5448
Practice Address - Fax:915-633-8044
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE4922208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice