Provider Demographics
NPI:1194950352
Name:RAJKUMAR NEBHRAJANI M.D., INC.
Entity type:Organization
Organization Name:RAJKUMAR NEBHRAJANI M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBHRAJANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-322-7449
Mailing Address - Street 1:3700 WASHINGTON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8256
Mailing Address - Country:US
Mailing Address - Phone:954-322-7449
Mailing Address - Fax:954-322-7598
Practice Address - Street 1:3700 WASHINGTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-8256
Practice Address - Country:US
Practice Address - Phone:954-322-7449
Practice Address - Fax:954-322-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064076174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty