National Provider Identifier Database

PREMALA RAJA, MD – NPI #1194736504
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

PREMALA RAJA, MD
900 E PINE STREET
STE 215
ENGLEWOOD, FL34223
Phone: 941-475-5672
Fax: 941-473-1456
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for PREMALA RAJA

NPI Number 1194736504
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 03/05/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME40190
  • FL Other: 79881 BCBS
  • FL Other: P00050930 MEDICARE RAILROAD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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