Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME98522 | FL |
N | 111NI0900X | Internist | ME98522 | FL |
N | 207RG0300X | Geriatric Medicine | ME98522 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME98522 | FL |
NPI | 1316925704 |
---|---|
Provider Name | Dr. Sahana Rajasekhara |
First Address | Tampa, FL 33612-9416 |
Second Address | Tampa, FL 33612-9416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 18/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02610180 | (05) | NY |
2781646 00 | (05) | FL |
H96742 | (02) | NY |