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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 Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PREMALA RAJA · (Female)

NPI # 1194736504
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 03/05/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME40190
  • FL Other 79881 BCBS
  • FL Other P00050930 MEDICARE RAILROAD
Hospital affiliation(s)
  • ENGLEWOOD COMMUNITY HOSPITAL - (Acute Care)
    700 MEDICAL BLVD
    ENGLEWOOD, FL 34223
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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