Raval, Jaydeep
Raval, Jaydeep is an individual health care provider with primary practice located at 1145 Sturgis Rd , Twentynine Palms CA 92277. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Raval, Jaydeep can be contacted via phone (760) 830-2483.Contact Information
Primary practice address
1145 Sturgis Rd
Twentynine Palms CA 92277
Phone: (760) 830-2483
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 010017 | Arizona |
Other Service Providers / Military Health Care Provider | 171000000X | ||
Other Service Providers / Military Health Care Provider | 171000000X | 15867 | California |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15867 | California |
Profile Details
NPI number | 1104277953 |
---|---|
LBN Legal business name | Raval, Jaydeep |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2016 |
Last updated | Jan 31st, 2024 - about last year |
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 | 1104277953 | NPPES |
Other | VAD0000 | MILITARY |
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