Active NPI
Vanaja Vijaya Ragavan, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Orlando, FL
National Provider Identifier
1437425691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD025001E
- Practice address
- 12502 Lake Mary Jane Rd
Orlando, FL 32832 - Phone
- (610) 220-0965
- NPI assigned
- Mar 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD025001E | PA | Primary |
Addresses
Primary practice location
12502 Lake Mary Jane Rd
Orlando, FL 32832
Mailing address
12502 Lake Mary Jane Rd
Orlando, FL 32832-6405
Phone (610) 220-0965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD025001E | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1437425691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12502 LAKE MARY JANE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326405",
"telephone_number": "610-220-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12502 LAKE MARY JANE RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32832",
"telephone_number": "610-220-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGAVAN",
"first_name": "VANAJA",
"middle_name": "VIJAYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-31",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD025001E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.