Akshaya Balaji LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

72472 Issued in FL

Legal business name

AKSHAYA BALAJI LLC

Practice address

1900 N Atlantic Ave Unit 1602
Daytona Beach, FL 32118-8312

Phone

(407) 285-5956

Fax

(321) 339-1949

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Ravi NagarajanNPI 1124004973

Title

President

Phone

(407) 360-1742

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravi Nagarajan, M.D.

  • Internal Medicine Physician
  • Daytona Beach, FL
  • NPI 1124004973
  Medicare reassignment Care Compare group NPD Authorized official
• Shriram Shridhar Marathe, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1134179922
  Medicare reassignment Care Compare group NPD
• Edward Orshansky, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1285054460
  Medicare reassignment Care Compare group NPD
• Samanaicker Ranganathan, M.D.

  • Internal Medicine Physician
  • Longwood, FL
  • NPI 1588615520
  Medicare reassignment Care Compare group NPD
• Abdalagani A. Baher, M.D.

  • Nephrology Physician
  • Jacksonville, FL
  • NPI 1740206937
  Medicare reassignment NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1891817029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N ATLANTIC AVE UNIT 1602",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321188312",
            "telephone_number": "407-285-5956",
            "fax_number": "321-339-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N ATLANTIC AVE UNIT 1602",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321188312",
            "telephone_number": "407-285-5956",
            "fax_number": "321-339-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKSHAYA BALAJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "NAGARAJAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-360-1742"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "72472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254154800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellyett Ahr, FNP-BC
• Benita Aifuwa
• Parus Bano Aijaz, APRN
• Dee Ann Akers, APRN
• Akin Chiropractic Clinics Inc.
• Sharif Al-Ruzzeh, MD
• Mohammed Ali Alawadhi, MD
• Nannette Alban, MSW, JD
• Jesse Albatrosov
• Enise Rebeca Alcius

• Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.