MEDICARE: FALCON MEDICAL GROUP INC

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME 102387	FL
2	2084N0400X	Neurology Physician	ME 102387	FL
3	2084E0001X	Epilepsy Physician

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700078979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCON MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	6000 METROWEST BLVD
Second Line	:	SUITE 104
City	:	ORLANDO
State	:	FL
Zip	:	32835-7630
Country	:	US
Telephone Number	:	407-365-3033
Fax Number	:	407-365-3034

Provider Business Practice Location Address
First Line	:	6000 METROWEST BLVD STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-7630
Country	:	US
Telephone Number	:	407-365-3033
Fax Number	:	407-365-3034

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAIVIR S RATHORE
Credential	:
Telephone Number	:	216-925-2499

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	07/16/2024

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Directions to “FALCON MEDICAL GROUP INC ” Practice Location

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