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Organization
RADHARAJ, INC
Active
Organization
RADHARAJ, INC
Active
Other names
Bhadresh I. Patel, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHADRESH I PATEL M.D. (PRESIDENT)
(386) 788-9086
Entity
Organization
Contact information
Practice address
802 DUNLAWTON AVE, SUITE 101, PORT ORANGE, FL 32127
(386) 788-9086
(386) 788-6589
Mailing address
802 DUNLAWTON AVE, SUITE 101, PORT ORANGE, FL 32127
(386) 788-9086
(386) 788-6589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100873
UHC
FL
01
—
27612
BCBS
FL
05
—
379467900
—
FL
01
—
5031818012
CIGNA
FL
01
—
5363010
AETNA
FL
01
—
6009354
GHI
FL
Enumeration date
11/22/2006
Last updated
06/17/2008
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