Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | C51977 | CA |
NPI | 1144337866 |
---|---|
Provider Name | Rakesh Safaya |
First Address | Fremont, CA 94538-1722 |
Second Address | Fremont, CA 94538-1722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 15/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I37810 | (02) | CA |
P00615428 | RAILROAD MEDICARE (01) | CA |