MEDICARE: DR. RAJESH MALI MD

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	208M00000X	Hospitalist Physician	ME114308	FL
2	208M00000X	Hospitalist Physician	M-14299	ID
3	207R00000X	Internal Medicine Physician	51397	AL
4	207R00000X	Internal Medicine Physician	ME114308	FL
5	207R00000X	Internal Medicine Physician	242781	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1083877575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH MALI MD

Provider Business Mailing Address
First Line	:	7500 RIALTO BLVD STE 1-140
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78735-8534
Country	:	US
Telephone Number	:	512-730-3060
Fax Number	:	888-730-1925

Provider Business Practice Location Address
First Line	:	9981 S HEALTHPARK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3618
Country	:	US
Telephone Number	:	239-343-2052
Fax Number	:	239-343-5348

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

Provider Enumeration Date	:	07/06/2008
Last Update Date	:	04/02/2026

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