Grover, Rakesh K

Grover, Rakesh K is an sole proprietor health care provider with primary practice located at 16018 Tuscola Rd , Apple Valley CA 92307-1329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Grover, Rakesh K can be contacted via phone (760) 242-0375.

Contact Information

Primary practice address
16018 Tuscola Rd Apple Valley CA 92307-1329
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A52860 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A52860 California

Profile Details

NPI number 1790836153
LBN Legal business name Grover, Rakesh K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2007
Last updated Oct 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790836153 NPPES
California MEDICAID 00A528600

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