Healthcare Provider Details

I. General information

NPI: 1457933467
Provider Name (Legal Business Name): CELIN RAJAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 100289
GAINESVILLE FL
32610-6640
US

IV. Provider business mailing address

PO BOX 100289
GAINESVILLE FL
32610-0289
US

V. Phone/Fax

Practice location:
  • Phone: 352-294-5481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberW6359
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: