Raja & Raja, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40190 Issued in FL

Legal business name

RAJA & RAJA, MD, PA

Practice address

900 Pine St Ste 215
Englewood, FL 34223-4458

Phone

(941) 475-5672

Fax

(941) 473-1456

NPI assigned

May 30, 2007

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Premala Raja, MDNPI 1194736504

Title

Owner

Phone

(941) 475-5672

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Premala Raja, MD

  • Cardiovascular Disease Physician
  • Englewood, FL
  • NPI 1194736504
  Authorized official Same address or phone

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1649471400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 215",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-475-5672",
            "fax_number": "941-473-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA & RAJA, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "PREMALA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-475-5672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA3146",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brandy Lynn Pusateri, LMT
• Bernice Cynthia Putnam
• Lindsey Soles Quinn, AU.D.
• Premala Raja, MD
• Joseph Lee Randolph, MPT
• Ray Oke Enterprises Inc (Englewood Home Health Care)
• Sadie Demilo Razwilavich
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• Specialist in Englewood, FL
• Providers in Englewood, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.