Raj Medical Diagnostics PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55603 Issued in CT

Legal business name

RAJ MEDICAL DIAGNOSTICS PC

Practice address

3180 Main St
Bridgeport, CT 06606-4237

Phone

(917) 940-0360

NPI assigned

Feb 13, 2017

Organization subpart

Yes

Parent organization

RAJ MEDICAL DIAGNOSTICS PCAs reported in NPPES

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

Authorized official

Name

Racquel Peters

Title

Administration Secretary

Phone

(917) 940-0360

Specialties & licenses 1

Addresses

Part of

Raj Medical Diagnostics PC

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1922547769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 RUTLAND RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031911",
            "telephone_number": "917-940-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064237",
            "telephone_number": "917-940-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ MEDICAL DIAGNOSTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAJ MEDICAL DIAGNOSTICS PC",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "RACQUEL",
        "authorized_official_title_or_position": "ADMINISTRATION SECRETARY",
        "authorized_official_telephone_number": "917-940-0360"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "55603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Far Rahman, ND, MSC
• Mahmudur Rahman
• Nur Shafiq Rahman, M.D.
• Ajeetej Rai
• Himal Yadav Rai, APRN
• Shriya Rajashekar, MD MPH
• Lynn B Rakos, APRN
• Racine Ramanand, DDS
• Sundar Ramaswami, PHD
• Meghna Ramaswamy, MD

• Internal Medicine Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.