Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 291893 | NY |
N | 111NI0900X | Internist | 291893 | NY |
N | 207R00000X | Internist | ME148496 | FL |
N | 111NI0900X | Internist | ME148496 | FL |
N | 207RH0000X | Hematologist | ME148496 | FL |
Y | 207RX0202X | Medical Oncology | ME148496 | FL |
NPI | 1255738258 |
---|---|
Provider Name | Dr. Geethapriya Rajasekaran Rathnakumar |
First Address | Fort Myers, FL 33916-2216 |
Second Address | New Port Richey, FL 34655-1112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2014 |
Last Update Date | 08/07/2021 |