MEDICARE: RAJASHEKAR NARASIMAIAH M.D.

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	207R00000X	Internal Medicine Physician	C1-0008098	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00382882	OTHER	DE	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1457367088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJASHEKAR NARASIMAIAH M.D.

Provider Business Mailing Address
First Line	:	33188 COASTAL HWY
Second Line	:	UNIT 4
City	:	BETHANY BEACH
State	:	DE
Zip	:	19930-3779
Country	:	US
Telephone Number	:	302-537-1100
Fax Number	:	302-537-0921

Provider Business Practice Location Address
First Line	:	33188 COASTAL HWY
Second Line	:	UNIT 4
City	:	BETHANY BEACH
State	:	DE
Zip	:	19930-3779
Country	:	US
Telephone Number	:	302-537-1100
Fax Number	:	302-537-0921

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/11/2021

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