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NPI Code Detail

MEDICARE: AJAY RAM BHARATHAN

MEDICARE:   AJAY RAM BHARATHAN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356285241
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJAY RAM BHARATHAN
Provider Business Mailing Address
First Line : 6850 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6850 LAKE NONA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7408
Country : US
Telephone Number : 407-266-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ AJAY RAM BHARATHAN ” Practice Location

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