Organization Active NPI

Rajendran Physician Group,Inc

  • Specialist
  • Plant City, FL
National Provider Identifier
1861944324
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS 11825 Issued in FL
Legal business name
RAJENDRAN PHYSICIAN GROUP,INC
Practice address
1507 W Reynolds St
Ste B
Plant City, FL 33563-4702
Phone
(813) 752-1053
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Srinivas Rajendran, D.O.
Title
Physician
Phone
(813) 752-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OS 11825 FL Primary

Addresses

Primary practice location

1507 W Reynolds St
Ste B
Plant City, FL 33563-4702

Mailing address

1507 W Reynolds St
Ste B
Plant City, FL 33563-4702
Phone (813) 752-1053

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1861944324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRAN PHYSICIAN GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "RAJENDRAN",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-752-1053",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS 11825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.