Bob M Gajraj MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOB M GAJRAJ MD PA

Practice address

4966 N. Pine Island Rd
Lauderhill, FL 33351

Phone

(954) 345-6340

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed H. Gajraj, MD

Title

M.D.

Phone

(754) 812-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1881877579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W.SAMPLE ROAD",
            "address_2": "SUITE A",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "754-812-1000",
            "fax_number": "954-775-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4966 N. PINE ISLAND RD",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-345-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB M GAJRAJ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "GAJRAJ",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "754-812-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063237600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.