NPIMap

Organization Active NPI

Saravana Rajan Mdpa

  • Internal Medicine Physician
  • Rockledge, FL
National Provider Identifier
1811188055
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME25452 Issued in FL
Legal business name
SARAVANA RAJAN MDPA
Practice address
548 Barton Blvd
Rockledge, FL 32955-3198
Phone
(321) 636-0840
Fax
(321) 636-2121
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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

Authorized official

Name
Saravana Rajan, M.D.
Title
President
Phone
(321) 636-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME25452 FL Primary

Addresses

Primary practice location

548 Barton Blvd
Rockledge, FL 32955-3198

Mailing address

548 Barton Blvd
Rockledge, FL 32955-3198
Phone (321) 636-0840

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1811188055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 BARTON BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553198",
            "telephone_number": "321-636-0840",
            "fax_number": "321-636-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 BARTON BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553198",
            "telephone_number": "321-636-0840",
            "fax_number": "321-636-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAVANA RAJAN MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "RAJAN",
        "authorized_official_first_name": "SARAVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-636-0840",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME25452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.