Individual
MR. JAY M RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18669 TAMIAMI TRL STE B, NORTH PORT, FL 34287-7388
(941) 423-5040
(941) 423-5042
Mailing address
18669 TAMIAMI TRL STE B, NORTH PORT, FL 34287-7388
(941) 423-5040
(941) 423-5042
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME40189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014120
MEDICARE RR
FL
05
—
120856500
—
FL
01
—
79827
BCBS
FL
Enumeration date
08/21/2006
Last updated
04/28/2026
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