MEDICARE: DR. RAJIV LOUNGANI MD, MPH

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	2084P0800X	Psychiatry Physician	39127	SC
2	2084P0800X	Psychiatry Physician	ME134176	FL
3	2084P0804X	Child & Adolescent Psychiatry Physician	ME134176	FL

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	:	1447516802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJIV LOUNGANI MD, MPH

Provider Business Mailing Address
First Line	:	2320 3RD ST S STE 13
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-4057
Country	:	US
Telephone Number	:	904-705-9335
Fax Number	:	850-724-4915

Provider Business Practice Location Address
First Line	:	2320 3RD ST S STE 13
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-4057
Country	:	US
Telephone Number	:	904-705-9335
Fax Number	:	850-724-4915

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

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	03/24/2026

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