| Raj Dalal Md Pa | |
|
192 Abner Jackson Pkwy Lake Jackson TX 77566-5160 | |
| (979) 285-0007 | |
| (979) 529-2309 |
| Full Name | Raj Dalal Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 192 Abner Jackson Pkwy, Lake Jackson, Texas |
| Authorized Official Name and Position | Sonal R Dalal (OFFICE MANAGER) |
| Authorized Official Contact | 9792850007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raj Dalal Md Pa 192 Abner Jackson Pkwy Lake Jackson TX 77566-5160 Ph: () - | Raj Dalal Md Pa 192 Abner Jackson Pkwy Lake Jackson TX 77566-5160 Ph: (979) 285-0007 |
| NPI Number | 1144729492 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 2365703956 |
|---|---|
| Medicare Enrollment ID | O20180222000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144729492 | NPI | - | NPPES |
| T4119 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K0702 (Texas) | Primary |
| Provider Name | Rajesh V Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316928021 PECOS PAC ID: 6204892508 Enrollment ID: I20041208000762 |
| Provider Name | Mauli R. Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669935524 PECOS PAC ID: 2163840612 Enrollment ID: I20220916000765 |
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