Rajendra N Pahwa, MD
Individual provider Active NPI Pediatrics Physician · Key Biscayne, FL
NPI 1588074231 · NPPES record last updated May 3, 2014
Key facts
- NPI
- 1588074231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- ME92853 (FL)
- Practice address
- 799 Crandon Blvd Apt 1207
Key Biscayne, FL 33149-2557 - Phone
- (305) 365-8653
- NPI assigned
- May 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92853 | FL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME92853 | FL | Yes |
Addresses
Primary practice location
799 Crandon Blvd Apt 1207
Key Biscayne, FL 33149-2557
Mailing address
799 Crandon Blvd Apt 1207
Key Biscayne, FL 33149-2557
Phone (305) 365-8653
NPI Registry JSON
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1588074231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 CRANDON BLVD APT 1207",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331492557",
"telephone_number": "305-365-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 CRANDON BLVD APT 1207",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331492557",
"telephone_number": "305-365-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHWA",
"first_name": "RAJENDRA",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-03",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME92853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key Biscayne, FL
- Sofia V Nunez Rivera
- Christina Megan Nunez
- Javier Obregon
- Carmen J. Ortiz-Butcher
- Catalina Ortiz
- Palmer Clinic on the Key, LLC
- Armando Francisco Paz Sr.
- Juan Perez Barcena
- Samuel R Pesin
- Maria Esther Piriz Campos
All providers in Key Biscayne, FL · Pediatrics Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.