NPIMap

Organization Active NPI

Mairaj Uddin PLLC

  • Internal Medicine Physician
  • Seminole, FL
National Provider Identifier
1104174663
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95461 Issued in FL
Legal business name
MAIRAJ UDDIN PLLC
Practice address
9677 Seminole Blvd
Seminole, FL 33772
Phone
(727) 490-9096
Fax
(727) 490-9299
NPI assigned
Aug 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Mairaj Uddin, MD
Title
Owner
Phone
(727) 490-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME95461 FL Primary

Addresses

Primary practice location

9677 Seminole Blvd
Seminole, FL 33772

Mailing address

9677 Seminole Blvd
Seminole, FL 33772
Phone (727) 490-9096

National Provider Directory

National Provider Directory

Locations

323 Jeffords St
Clearwater, FL 33756
Phone (727) 462-7045

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

9677 Seminole Blvd
Seminole, FL 33772
Phone (727) 319-2952

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1104174663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9677 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33772",
            "telephone_number": "727-490-9096",
            "fax_number": "727-490-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9677 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "33772",
            "telephone_number": "727-490-9096",
            "fax_number": "727-490-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIRAJ UDDIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "MAIRAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-490-9096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.