Healthcare Provider Details

I. General information

NPI: 1285980854
Provider Name (Legal Business Name): NOELINE RAJARAJAN I MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 W HAMILTON AVE
TAMPA FL
33614-4055
US

IV. Provider business mailing address

3449 WILKENS AVE STE 100
BALTIMORE MD
21229-5216
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4736
  • Fax: 813-467-4737
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD90387
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME182885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: