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

LicenseStateTypeSpecialty
ME92853FLMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2014.

{
    "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

All providers in Key Biscayne, FL · Pediatrics Physician in Florida

Sources for this page

Verify at the official NPI Registry.