Provider Demographics
NPI:1396070959
Name:RAJANI, ASGHAR ALI (NP)
Entity type:Individual
Prefix:MR
First Name:ASGHAR
Middle Name:ALI
Last Name:RAJANI
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19059 BEAR VALLEY ROAD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308
Mailing Address - Country:US
Mailing Address - Phone:760-514-5450
Mailing Address - Fax:323-582-4914
Practice Address - Street 1:19059 BEAR VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308
Practice Address - Country:US
Practice Address - Phone:760-515-5000
Practice Address - Fax:323-582-4914
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP19009163WG0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice