Provider Demographics
NPI:1154362242
Name:LAMBA, RAJENDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:RAJENDER
Middle Name:SINGH
Last Name:LAMBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13028 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6421
Mailing Address - Country:US
Mailing Address - Phone:727-862-3591
Mailing Address - Fax:727-863-7034
Practice Address - Street 1:13028 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6421
Practice Address - Country:US
Practice Address - Phone:727-862-3591
Practice Address - Fax:727-863-7034
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42950207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL208049OtherAVMED
FL02591OtherBLUE CROSS BLUE SHIELD
FL049512300Medicaid
FL4258620OtherAETNA
FL4258620OtherAETNA
FL208049OtherAVMED