Individual
DR. VRAJLAL L RAJYAGURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 W VINE ST # 301, KISSIMMEE, FL 34741-4156
(407) 935-9404
(407) 935-9304
Mailing address
505 W VINE ST # 301, KISSIMMEE, FL 34741-4156
(407) 935-9404
(407) 935-9304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME0066759
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME66759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377046000
—
FL
01
—
593339956
TAX IID#
FL
Enumeration date
04/25/2007
Last updated
06/04/2008
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