Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN7933 | FL |
N | 111NI0900X | Internist | TRN7933 | FL |
Y | 207RH0000X | Hematologist | ME107239 | FL |
N | 207RH0003X | Hematology & Oncology | ME107239 | FL |
NPI | 1437247822 |
---|---|
Provider Name | Dr. Anita Rajasekhar |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 05/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002428500 | (05) | FL |