| Rajani Medical Group Llc | |
|
1840 Mease Dr Ste 401b Safety Harbor FL 34695-6602 | |
| (727) 328-4633 | |
| (727) 726-0529 |
| Full Name | Rajani Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1840 Mease Dr, Safety Harbor, Florida |
| Authorized Official Name and Position | Vakesh Rajani (OWNER / PROVIDER) |
| Authorized Official Contact | 7273284633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajani Medical Group Llc 1840 Mease Dr Ste 401b Safety Harbor FL 34695-6602 Ph: (727) 328-4633 | Rajani Medical Group Llc 1840 Mease Dr Ste 401b Safety Harbor FL 34695-6602 Ph: (727) 328-4633 |
| NPI Number | 1073851531 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 1254586985 |
|---|---|
| Medicare Enrollment ID | O20130304000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073851531 | NPI | - | NPPES |
| 008051300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lauren C Holderith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477745289 PECOS PAC ID: 5092873992 Enrollment ID: I20081022000041 |
| Provider Name | Camille R Mattia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467647768 PECOS PAC ID: 1850437351 Enrollment ID: I20091014000600 |
| Provider Name | Vakesh Rajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013962299 PECOS PAC ID: 8224179163 Enrollment ID: I20100114000083 |
| Provider Name | Brittany C Maglio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710224878 PECOS PAC ID: 5294975223 Enrollment ID: I20130715000728 |
| Provider Name | Paulette Isch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376037317 PECOS PAC ID: 8527310861 Enrollment ID: I20181015001167 |
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