Raghavendra R Vijayanagar MD PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

RAGHAVENDRA R VIJAYANAGAR MD PA

Practice address

5 Tampa General Cir Ste 855
Tampa, FL 33606-3601

Phone

(813) 251-8600

Fax

(813) 251-8677

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anil Kumar

Title

Office Manager

Phone

(813) 251-8600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1669700555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 855",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063601",
            "telephone_number": "813-251-8600",
            "fax_number": "813-251-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TAMPA GENERAL CIR STE 855",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063601",
            "telephone_number": "813-251-8600",
            "fax_number": "813-251-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHAVENDRA R VIJAYANAGAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2022-08-26",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-251-8600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Raffoul, PA-C
• Siamak Rafieian, DDS
• Pierre Rafla
• Rag Medical Clinic LLC
• Diane Raggard Wright
• Vaishnavi Raghuram
• Trelvis L Ragin Sallet, M.D.
• Avram Randall Polk Rago
• Lenisa Ragoodial, BCBA
• Gaiatri Niesha Ragoonanan-Kallimutoo, B.S.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.