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NPI Code Detail

MEDICARE: DR. RASA RAJANAYAGAM MD

MEDICARE: DR. RASA RAJANAYAGAM MD
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
12085R0202XDiagnostic Radiology PhysicianME60710FL
2208D00000XGeneral Practice PhysicianME60710FL
32085R0202XDiagnostic Radiology PhysicianC40893CA

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 : 1750377925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RASA RAJANAYAGAM MD
Provider Business Mailing Address
First Line : 5715 E LONGBOAT BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33615-4203
Country : US
Telephone Number : 813-855-1494
Fax Number : 813-855-1494
Provider Business Practice Location Address
First Line : 8750 WILSHIRE BLVD STE 100
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90211-2708
Country : US
Telephone Number : 310-689-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 08/15/2025

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