MEDICARE: DR. RAJEEV RAJANI M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D61519	MD
2	208M00000X	Hospitalist Physician	D61519	MD
3	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	ME99073	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	S1380075	OTHER	MD	CAREFIRST REGIONAL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	KJ15GB/642654	OTHER	MD	CAREFIRST MARYLAND

General Provider Information

NPI Number	:	1316038698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJEEV RAJANI M.D.

Provider Business Mailing Address
First Line	:	6615 HILLWAY CIR
Second Line	:	SUITE 200
City	:	NAPLES
State	:	FL
Zip	:	34112-8755
Country	:	US
Telephone Number	:	239-774-0345
Fax Number	:	239-774-1783

Provider Business Practice Location Address
First Line	:	6615 HILLWAY CIR
Second Line	:	SUITE 200
City	:	NAPLES
State	:	FL
Zip	:	34112-8755
Country	:	US
Telephone Number	:	239-774-0345
Fax Number	:	239-774-1783

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	04/11/2008

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