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Reena Devaraj

NPI 1962677146ActiveIndividual· Specialist· Moreno Valley, CA

Specialist in Moreno Valley, California, licensed in CA, with an NPI issued in April 2008. Enrolled in Medicare as practitioner - general practice.

Overview

NPI1962677146
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 28, 2008
Last updated in NPPESSep 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XA118890CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Practitioner - General Practice (CA)

Medicare sources and data years

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