Organization
RANJAN MAHAJAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY KIGER (MANAGER)
(727) 518-0822
Entity
Organization
Contact information
Practice address
150 CLEARWATER LARGO RD N, LARGO, FL 33770-2388
(727) 518-0822
(727) 518-6511
Mailing address
150 CLEARWATER LARGO RD N, LARGO, FL 33770-2388
(727) 518-0822
(727) 518-6511
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9337786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9337786
LICENCE ARNP
FL
Enumeration date
10/18/2016
Last updated
10/18/2016
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