Tejash Dungarani, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

ME105359 Issued in FL

Practice address

699 W Cocoa Beach Cswy
Suite 604
Cocoa Beach, FL 32931-3577

Phone

(321) 868-5800

Fax

(321) 868-5806

NPI assigned

Jun 18, 2006

Last updated

May 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1902841422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561600",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329561600",
            "telephone_number": "321-434-4600",
            "fax_number": "321-259-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY",
            "address_2": "SUITE 604",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313577",
            "telephone_number": "321-868-5800",
            "fax_number": "321-868-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGARANI",
        "first_name": "TEJASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME105359",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME105359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001418100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dixitkumar N Modi MD PA
• Natalia Dougher
• Kimberly Dozier-Thornton, MD
• Dr. Alex Davis - Assessment and Consulting PLLC
• Dr. Betsy Leveritt, D.O.,
• Jeanna Shea Eagerton, OD
• Dawn O Eckhoff, ARNP
• James Curtis Elmer, MD
• Erin J. Kahlon D.D.S. P.a.
• Kitty A. Evans, MH

• Pain Medicine Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.