NPIMap

Organization Active NPI

Ranjan Mahajan, MD PLC

  • Legal Medicine
  • Largo, FL
National Provider Identifier
1114140324
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME0069005 Issued in FL
Legal business name
RANJAN MAHAJAN, MD PLC
Practice address
150 Clearwater Largo Rd N
Suite 2
Largo, FL 33770-2388
Phone
(727) 518-0822
Fax
(727) 518-6511
NPI assigned
Apr 10, 2007
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Ranjan Mahajan, M.D.NPI 1861581266
Title
Owner
Phone
(727) 518-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X ME0069005 FL Primary

Addresses

Primary practice location

150 Clearwater Largo Rd N
Suite 2
Largo, FL 33770-2388

Mailing address

150 Clearwater Largo Rd N
Suite 2
Largo, FL 33770-2388
Phone (727) 518-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060125000978 FL Part B Supplier - Clinic/Group Practice 6800800129 Receives reassigned benefits from 9 practitioners
Practice locations: Largo, FL

National Provider Directory

National Provider Directory
Tax ID family
Ranjan Mahajan MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374

150 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-0822

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 518-0822

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1114140324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "SUITE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANJAN MAHAJAN, MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "RANJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-518-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME0069005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.