| Rajan Sareen Md Pllc | |
|
4801 Palm Beach Blvd Fort Myers FL 33905-3214 | |
| (239) 694-2161 | |
| (239) 694-4131 |
| Full Name | Rajan Sareen Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4801 Palm Beach Blvd, Fort Myers, Florida |
| Authorized Official Name and Position | Rajan Sareen (OWNER) |
| Authorized Official Contact | 2396942161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajan Sareen Md Pllc 4801 Palm Beach Blvd Fort Myers FL 33905-3214 Ph: (239) 694-2161 | Rajan Sareen Md Pllc 4801 Palm Beach Blvd Fort Myers FL 33905-3214 Ph: (239) 694-2161 |
| NPI Number | 1104481373 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 1557604618 |
|---|---|
| Medicare Enrollment ID | O20190514000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104481373 | NPI | - | NPPES |
| 023896400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
| Provider Name | Rajan Kumar Sareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659368934 PECOS PAC ID: 9234315789 Enrollment ID: I20110517000623 |
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