Organization Active NPI

Rajaram P a

  • Surgery Physician
  • Davenport, FL
National Provider Identifier
1891991832
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0040960 Issued in FL
Legal business name
RAJARAM P A
Practice address
40124 Highway 27
Suite 203
Davenport, FL 33837-5905
Phone
(863) 421-7626
Fax
(863) 421-0886
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Dr. Perumalswamy Rajaram, M.D.,P.A.
Title
President
Phone
(813) 685-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0040960 FL Primary

Addresses

Primary practice location

40124 Highway 27
Suite 203
Davenport, FL 33837-5905

Mailing address

321 E Robertson St
Brandon, FL 33511-5253
Phone (813) 685-2191

National Provider Directory

National Provider Directory

Locations

40124 Highway 27
Ste 203
Davenport, FL 33837
Phone (863) 353-1532

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1891991832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ROBERTSON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115253",
            "telephone_number": "813-685-2191",
            "fax_number": "813-689-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40124 HIGHWAY 27",
            "address_2": "SUITE 203",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338375905",
            "telephone_number": "863-421-7626",
            "fax_number": "863-421-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJARAM P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "PERUMALSWAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-685-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0040960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.