Organization
SHARAJA OF MIAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. APARNA C RAJADHYAKSHA MD (PRESIDENT)
(305) 987-5140
Entity
Organization
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
2000 N BAYSHORE DR, APT 210, MIAMI, FL 33137-5108
(305) 987-5140
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
105193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105193
STATE LICENSE
FL
Enumeration date
12/29/2010
Last updated
12/29/2010
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