NPIMap

Organization Active NPI

Khozema Rajkotwala MD Inc

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1376658948
Registry record updated Apr 1, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
350677778 Issued in OH
Legal business name
KHOZEMA RAJKOTWALA MD INC
Doing business as
PRIMARY FAMILY HEALTHCARE
Practice address
990 South Prospect Street
Suite 2
Marion, OH 43302
Phone
(740) 375-0775
Fax
(740) 375-0774
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Khozema M Rajkotwala, MD
Title
MD Selfemployed
Phone
(740) 375-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 350677778 OH Primary

Addresses

Primary practice location

990 South Prospect Street
Suite 2
Marion, OH 43302

Mailing address

990 South Prospect Street
Suite 2
Marion, OH 43302
Phone (740) 375-0775

Other identifiers 4

IdentifierTypeStateIssuer
110183567OtherRR MEDICARE
000000141025OtherOHANTHEM
0176321MedicaidOH
0404230OtherUHC

Other names 1

  • PRIMARY FAMILY HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1376658948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SOUTH PROSPECT STREET",
            "address_2": "SUITE 2",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-375-0775",
            "fax_number": "740-375-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH PROSPECT STREET",
            "address_2": "SUITE 2",
            "city": "MARION",
            "state": "OH",
            "postal_code": "43302",
            "telephone_number": "740-375-0775",
            "fax_number": "740-375-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHOZEMA RAJKOTWALA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "RAJKOTWALA",
        "authorized_official_first_name": "KHOZEMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD SELFEMPLOYED",
        "authorized_official_telephone_number": "740-375-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "350677778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110183567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141025",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0176321",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0404230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.