Radharaj, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RADHARAJ, INC

Practice address

802 Dunlawton Ave
Suite 101
Port Orange, FL 32127

Phone

(386) 788-9086

Fax

(386) 788-6589

NPI assigned

Nov 22, 2006

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 identifiers 6

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.

• 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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0100873",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5363010",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27612",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379467900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6009354",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5031818012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bhadresh I. Patel, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qing Ge
• Qing Ge, M.D.
• Quality Care Home Health, LLC
• Quality Home Health Inc
• Megan Quigley
• Radiant Health Chiropractic LLC
• Radiant Vision Eyecare
• Radiology Imaging Associates, LLC
• Radiology Imaging Specialists LLC
• Megan Ragosta

• 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.