Organization
BRADENTON HEART CENTER P A
Active
Organization
BRADENTON HEART CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJ T RAJAN M.D. (OWNER)
(941) 794-3999
Entity
Organization
Contact information
Practice address
2010 59TH ST W, SUITE 4200, BRADENTON, FL 34209-4616
(941) 794-3999
(941) 792-4048
Mailing address
2010 59TH ST W, SUITE 4200, BRADENTON, FL 34209-4616
(941) 794-3999
(941) 792-4048
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0059046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375960100
—
FL
01
—
DH2049
MEDICARE RAILROAD CARRIER
FL
Enumeration date
07/26/2006
Last updated
12/11/2008
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