Provider Demographics
NPI:1194930412
Name:RAJADHAYAKSHA, APARNA (MD)
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:RAJADHAYAKSHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 COLLINS AVE APT 1503
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3705
Mailing Address - Country:US
Mailing Address - Phone:305-987-5140
Mailing Address - Fax:305-243-3919
Practice Address - Street 1:3100 SW 62ND AVENUE
Practice Address - Street 2:DEPT OF GENETICS
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1005
Practice Address - Country:US
Practice Address - Phone:305-666-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105193207SG0201X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)