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
Phone: (760) 242-0375
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790836153 | NPPES |
| California | MEDICAID | 00A528600 |
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