Individual
DR. RAJNEESH MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DR, TAMPA, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016129
MI
207P00000X
Emergency Medicine Physician
Primary
OS10264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000192300
—
FL
01
—
48797
BCBS OF FLORIDA
—
Enumeration date
02/21/2007
Last updated
06/17/2015
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