| Rajnikant Kushwaha Md Pa | |
|
150 Pine Forest Dr Ste 604 Shenandoah TX 77384-5304 | |
| (936) 273-4666 | |
| (936) 271-4666 |
| Full Name | Rajnikant Kushwaha Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 Pine Forest Dr Ste 604, Shenandoah, Texas |
| Authorized Official Name and Position | Rajnikant Kushwaha (PHYSICIAN) |
| Authorized Official Contact | 9362734666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajnikant Kushwaha Md Pa 150 Pine Forest Dr Suite 604 Shenandoah TX 77384-5302 Ph: (936) 273-4666 | Rajnikant Kushwaha Md Pa 150 Pine Forest Dr Ste 604 Shenandoah TX 77384-5304 Ph: (936) 273-4666 |
| NPI Number | 1326227042 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 2769506914 |
|---|---|
| Medicare Enrollment ID | O20100825000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326227042 | NPI | - | NPPES |
| P00001133 | Other | TX | MEDICARE RAILROAD |
| 158357701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K7323 (Texas) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Rajnikant Kushwaha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629072335 PECOS PAC ID: 6709964422 Enrollment ID: I20100825000657 |
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