Healthcare Provider Details

I. General information

NPI: 1932168721
Provider Name (Legal Business Name): HUSSAIN ESMAIL RAWJI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 W PLYMOUTH AVE
DELAND FL
32720-3284
US

IV. Provider business mailing address

850 W PLYMOUTH AVE
DELAND FL
32720-3284
US

V. Phone/Fax

Practice location:
  • Phone: 386-337-3190
  • Fax: 386-337-3189
Mailing address:
  • Phone: 386-337-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME65279
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME 0065279
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME65279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: