MEDICARE: HUSSAIN ESMAIL RAWJI 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
1	207Q00000X	Family Medicine Physician	ME65279	FL
2	207V00000X	Obstetrics & Gynecology Physician	ME 0065279	FL
3	207V00000X	Obstetrics & Gynecology Physician	ME65279	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	:	1932168721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUSSAIN ESMAIL RAWJI MD

Provider Business Mailing Address
First Line	:	850 W PLYMOUTH AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-3284
Country	:	US
Telephone Number	:	386-337-2455
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 W PLYMOUTH AVE
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-3284
Country	:	US
Telephone Number	:	386-337-3190
Fax Number	:	386-337-3189

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/17/2025

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