MEDICARE: DR. TARUN RAI 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	207RG0100X	Gastroenterology Physician	ME135628	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	KM584	OTHER	FL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821304353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TARUN RAI M.D.

Provider Business Mailing Address
First Line	:	4800 BELFORT RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-6004
Country	:	US
Telephone Number	:	904-398-7205
Fax Number	:

Provider Business Practice Location Address
First Line	:	1747 BAPTIST CLAY DR STE 300
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-8503
Country	:	US
Telephone Number	:	904-214-8100
Fax Number	:	904-214-8109

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

Provider Enumeration Date	:	08/21/2010
Last Update Date	:	04/02/2019

Similar Medicare Providers

1902880198 — DR. JIM THONG TRAN MD
Practice Location Address:

1747 BAPTIST CLAY DR STE 340
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-264-4405
Practice Fax: 904-391-5380

1831179290 — DR. MICHAEL E HERMAN DO
Practice Location Address:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-214-8100
Practice Fax: 904-214-8109

1174595763 — DR. KABIR A YOUSUF MD
Practice Location Address:

1747 BAPTIST CLAY DR STE 320
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-224-5185
Practice Fax: 904-278-7284

1346392800 — SIAN CHISHOLM M.D.
Practice Location Address:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-214-8100
Practice Fax: 904-214-8109

1063611028 — HAROLD DALE BOYD MD
Practice Location Address:

1747 BAPTIST CLAY RD STE 340 , CREDENTIALING DEPARTMENT
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-264-4405
Practice Fax: 904-391-5380

1962653212 — JUDITH G REWIS ARNP
Practice Location Address:

1747 BAPTIST CLAY DR STE 320
FLEMING ISLAND, FL
32003-8503

Practice Phone: 904-224-5185
Practice Fax: 904-278-7284

Directions to “ DR. TARUN RAI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.