Devarakonda & Rajendran MD S

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DEVARAKONDA & RAJENDRAN MD S

Practice address

1507 W Reynolds St
Ste B
Plant City, FL 33563-4702

Phone

(813) 752-1053

Fax

(813) 754-6739

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Subranmanyam Devarakonda, MD

Title

Owner

Phone

(813) 752-1053

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pattabhiraman Rajendran, MD

  • Specialist
  • Plant City, FL
  • NPI 1467485953
  Medicare reassignment NPD
• Srinivas Rajendran, D.O.

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1497050132
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1952334443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053",
            "fax_number": "813-754-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W REYNOLDS ST",
            "address_2": "STE B",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634702",
            "telephone_number": "813-752-1053",
            "fax_number": "813-754-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVARAKONDA & RAJENDRAN MD S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "DEVARAKONDA",
        "authorized_official_first_name": "SUBRANMANYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-752-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "98568",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CB7529",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060981100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rolando Salazar Deguzman, PT, MPH
• Brian Matthew Delp
• Dental Associates of Central Florida PA
• Dental Associates of Florida (Plant City) PLLC
• Poliana Desarden
• Subrahmanyam Devarakonda, M.D.
• Satishchandra V Dholakia, MD
• Alejandro Abel Diaz Jr., M.D.
• Erin N Diaz, APRN
• Janelis Diaz

• Specialist in Plant City, FL
• Providers in Plant City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.