Radharaj, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RADHARAJ, INC

Doing business as

Bhadresh I. Patel, M.D.

Practice address

802 Dunlawton Ave
Suite 101
Port Orange, FL 32127

Phone

(386) 788-9086

Fax

(386) 788-6589

NPI assigned

Nov 22, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bhadresh I Patel, M.D.NPI 1467469700

Title

President

Phone

(386) 788-9086

Specialties & licenses 1

Addresses

Other names 1

• Bhadresh I. Patel, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Bhadresh I Patel, M.D.

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1467469700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1245305440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 DUNLAWTON AVE",
            "address_2": "SUITE 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-788-9086",
            "fax_number": "386-788-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 DUNLAWTON AVE",
            "address_2": "SUITE 101",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32127",
            "telephone_number": "386-788-9086",
            "fax_number": "386-788-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADHARAJ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHADRESH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-788-9086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bhadresh I. Patel, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.