MEDICARE: JENNIFER JO-ANN RAJKUMAR MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME134540	FL
2	207Q00000X	Family Medicine Physician	MD.208072	LA
3	207Q00000X	Family Medicine Physician	0116024681	VA

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

NPI Number	:	1659632842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JO-ANN RAJKUMAR MD

Provider Business Mailing Address
First Line	:	109 STATE ST STE 5
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02109-2906
Country	:	US
Telephone Number	:	617-505-1520
Fax Number	:	617-928-8401

Provider Business Practice Location Address
First Line	:	1688 MERIDIAN AVE STE 700
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-2713
Country	:	US
Telephone Number	:	617-505-1520
Fax Number	:	617-928-8401

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

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	05/06/2026

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141