Individual provider · Type 1 NPI

Raj Praful Fadadu, MD, MS

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1043915028 Active

Practice location

8899 University Center Ln Ste 350
San Diego, CA 92122-1010

Call (858) 657-8322 Map

Other practice locations

  • 751 S Bascom Ave, San Jose, CA 95128-2699 · (408) 885-5000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043915028

Raj Praful Fadadu, MD, MS's National Provider Identifier is 1043915028, issued on Mar 31, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jul 1, 2024.