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Individual

RAJENDRA RAVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 W DR MLK BLVD, TAMPA, FL 33607-6307
(813) 870-4015
(813) 605-6269
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MA04351900
NJ
207L00000X
Anesthesiology Physician
Primary
ME99308
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MA04351900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015206
NJ
Enumeration date
12/13/2006
Last updated
08/15/2024
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