Shreeji Medical PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME63933 Issued in FL

Legal business name

SHREEJI MEDICAL PA

Practice address

2185A Cheney Hwy
Titusville, FL 32780-0700

Phone

(321) 269-9800

Fax

(321) 269-7082

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rasiklal N Delvadia, MD

Title

President

Phone

(321) 269-9800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1912236332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185A CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327800700",
            "telephone_number": "321-269-9800",
            "fax_number": "321-269-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185A CHENEY HWY",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327800700",
            "telephone_number": "321-269-9800",
            "fax_number": "321-269-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREEJI MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "DELVADIA",
        "authorized_official_first_name": "RASIKLAL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-269-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin R Shenoy, MD
• Sheridan Healthcorp Inc
• Bradley Leone Shoss, MD
• Shree Anitha Prasanna PA
• Shree Anitha Prasanna PA
• Deveshkumar Shukla, DDS
• David Shumate, RMHCI
• William Ocell Shumpert Jr., DDS
• Shyam Verma MD PA
• Siddhi Anitha Prasanna

• Internal Medicine Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.