MEDICARE: RAJESH L CHHELAVDA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	177F00000X	Lodging Provider
5	251300000X	Local Education Agency (LEA)
6	251B00000X	Case Management Agency
7	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1023952017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH L CHHELAVDA

Provider Business Mailing Address
First Line	:	PO BOX 622476
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32862-2476
Country	:	US
Telephone Number	:	760-709-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	6735 CONROY RD STE 317
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3568
Country	:	US
Telephone Number	:	760-709-2220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2026
Last Update Date	:	04/21/2026

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