RAJEEV K MATHAVAN (NPI# 1790705200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790705200 |
| Entity Type | Individual |
| Full Name | RAJEEV K MATHAVAN |
| Credential | MD |
| Practice Address |
5501 S Mccoll Rd Edinburg TX 78539-5503 |
| Mailing Address |
Po Box 5958 Mcallen TX 78502-5958 |
| Practice Telephone | 9563628677 |
| Practice Fax Number | 9563627253 |
| Mailing Telephone | 9563628677 |
| Mailing Fax Number | 9563627253 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
N0953 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 200488902 | 05 | |
| TX | RAILROAD MEDICARE NO. | P00920362 | 01 |
| TX | 200488903 | 05 | |
| TX | BCBS | 8CH870 | 01 |
| Street Address |
5501 S MCCOLL RD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347892 | Robert Jon Lackamp | Radiology | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2005-06-21 |
| 1255941381 | Mabel Luciano | Surgery | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-08-04 |
| 1306463096 | Martha Maricela Solis Trevino | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-29 |
| 1205452919 | Benson Thomas Plavilapadinjattethil | Registered Nurse | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-18 |
| 1942825567 | Benjamin Facer | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-06-09 |
| 1831713445 | Ans Albustamy | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-31 |
| 1811511447 | Rohan Adiga | Physical Medicine & Rehabilitation | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-29 |
| 1326661398 | Emily Yoon | Internal Medicine | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-05-25 |
| 1407477870 | Joseph Eladio Caporusso | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-27 |
| 1457971855 | Jose Antonio Rivera | Student in an Organized Health Care Education/Training Program | 5501 S Mccoll Rd, Edinburg, TX 78539-5503 | 2020-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1780198044 | Lucy E Quinn | Internal Medicine | 3910 Desert Springs Ln, Fulshear, TX 77441 | 2017-11-24 |
| 1457861411 | Apex House Calls, LLC | Internal Medicine | 5057 Keller Springs Rd Ste 300, Addison, TX 75001-6916 | 2017-10-04 |
| 1669994570 | Mina Health Services, LLC | Internal Medicine | 8811 Teel Pkwy Ste 100, Frisco, TX 75035-4201 | 2017-07-12 |
| 1679023410 | Siddique Medical Associates Pa | Internal Medicine | 1611 Bryce Canyon Ln, Allen, TX 75002-2696 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.