Shri Balaji Medical Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME108505 Issued in FL

Legal business name

SHRI BALAJI MEDICAL SERVICES

Practice address

4123 University Blvd S
Suite C
Jacksonville, FL 32216-4371

Phone

(904) 704-7140

Fax

(866) 683-8679

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Chitra V Rajpal, MD

Title

President

Phone

(904) 704-7140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1467799577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S STE C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164320",
            "telephone_number": "904-704-7140",
            "fax_number": "888-655-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 UNIVERSITY BLVD S",
            "address_2": "SUITE C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164371",
            "telephone_number": "904-704-7140",
            "fax_number": "866-683-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRI BALAJI MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "RAJPAL",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-704-7140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME108505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anil Prasad Shrestha, MD
• Ashik Shrestha, D.O.
• Rabi Shrestha, MD
• Shumneva Shrestha, MD
• Timothy Marshall Shreve, P.T.
• Shriji Swami LLC
• Shriji Swami LLC
• Ryan R Shrode, ARNP
• Girish S Shroff, MD
• Kaitlyn Kludjian Shrum, MA CCC/SLP

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.