Rajive K Das Md | |
1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 | |
(321) 725-9800 | |
(321) 725-9978 |
Full Name | Rajive K Das Md |
---|---|
Speciality | Family Medicine |
Location | 1071 Port Malabar Blvd Ne Ste 111, Palm Bay, Florida |
Authorized Official Name and Position | Amanda Santos (OFFICE ADMINISTRATOR) |
Authorized Official Contact | 3217259800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rajive K Das Md 1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 Ph: (321) 725-9800 | Rajive K Das Md 1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 Ph: (321) 725-9800 |
NPI Number | 1518652890 |
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Provider Enumeration Date | 04/11/2023 |
Last Update Date | 04/21/2023 |
Medicare PECOS PAC ID | 1850757337 |
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Medicare Enrollment ID | O20230525003034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518652890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rajive K Das |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659348548 PECOS PAC ID: 2062478399 Enrollment ID: I20041208000169 |
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