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NPI Code Detail

MEDICARE: ANJALI KRISHNAKUMAR RAJANI D.D.S.

MEDICARE:   ANJALI KRISHNAKUMAR RAJANI  D.D.S.
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
11223P0221XPediatric DentistryHAD6FL

Other Identifiers

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

General Provider Information

NPI Number : 1104955897
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJALI KRISHNAKUMAR RAJANI D.D.S.
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0950
Fax Number : 813-866-0929
Provider Business Practice Location Address
First Line : 1502 E FOWLER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33612-5416
Country : US
Telephone Number : 813-866-0950
Fax Number : 813-866-0929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 02/04/2010

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