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General NPI Number Information
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NPI Number | 1750377925
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Entity Type | Individual
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Provider Name | RASA RAJANAYAGAM MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 8750 WILSHIRE BLVD STE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2708
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Country | US
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Telephone | 310-689-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 5715 E LONGBOAT BLVD
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City | TAMPA
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State | FL
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Zip | 33615-4203
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Country | US
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Telephone | 813-855-1494
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Fax | 813-855-1494
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME60710
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME60710
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C40893
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License Number State | CA
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