Raj M. Eliazer, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME94301 Issued in FL

Practice address

2727 W Dr Martin Luther King Jr Blvd
Suite 700
Tampa, FL 33607-6378

Phone

(813) 321-1429

Fax

(813) 321-1431

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Shrinath S. Kamat, M.D.,P.a.

  • Neurology Physician
  • Tampa, FL
  • NPI 1437282712
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1144210238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MLK BLVD STE 700",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076378",
            "telephone_number": "813-321-1429",
            "fax_number": "813-443-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 700",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076378",
            "telephone_number": "813-321-1429",
            "fax_number": "813-321-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAZER",
        "first_name": "RAJ",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME94301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274031100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1852471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caren Elhenawy
• Lisa Marie Elia, CRNA
• Johanna Eliacin
• Penny M. Elias, L.M.T.
• Michelle Eliassaint
• Elidan Art LLC
• Elidan Bioactive Compounds LLC
• Elidan Bioactive Compounds LLC
• Elidan Dynamic LLC
• Elidan Gold Label LLC

• Neurology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.