Bhagwandatt Rajcoomar, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

ME35579 Issued in FL

Practice address

4765 S Congress Ave Ste B
Lake Worth, FL 33461-4700

Phone

(561) 965-5705

Fax

(561) 964-1188

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Bob Rajcoomar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivo Baronne MD,Medical Corporation

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1376617928
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1104994227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 S CONGRESS AVE STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614700",
            "telephone_number": "561-965-5705",
            "fax_number": "561-964-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 S CONGRESS AVE STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614700",
            "telephone_number": "561-965-5705",
            "fax_number": "561-964-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJCOOMAR",
        "first_name": "BHAGWANDATT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME35579",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME35579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048779100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "RAJCOOMAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Radiation Oncology Group, P.a.
• Tina M Rahe, APRN
• Rainbow of Life Behavioral Health Center, LLC
• Rait Health Center, P.a.
• Cynthia Anne Rait, D.C.
• Solanch De la Caridad Ramallo Marichal
• Sarah Lee Latisha Ramdeen-Cucu, D.C.
• Crystal Charmaine Ramdeo, DMD
• Marbelis Ramirez Perez
• Marco A Ramirez, DC

• Addiction Medicine (Family Medicine) Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.