The Rajapho Company LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE RAJAPHO COMPANY LLC

Practice address

4811 Ambassador Caffery Pkwy FL 4
Lafayette, LA 70508-7265

Phone

(337) 349-1525

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Virasith Rajapho, MDNPI 1497951446

Title

MD Owner

Phone

(337) 349-1525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 2

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

• Virasith Rajapho, MD

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1497951446
  Medicare reassignment NPD Authorized official
• Tara J. Redwantz, NP

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1760790521
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1861106569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BLUEBONNET DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086956",
            "telephone_number": "337-349-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 AMBASSADOR CAFFERY PKWY FL 4",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087265",
            "telephone_number": "337-349-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RAJAPHO COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "RAJAPHO",
        "authorized_official_first_name": "VIRASITH",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "337-349-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.