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Individual

RANJAN MAHAJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,FACP

Contact information

Practice address
150 CLEARWATER LARGO RD N, STE 2, LARGO, FL 33770-2388
(727) 518-0822
(727) 518-6511
Mailing address
150 CLEARWATER LARGO RD N, STE 2, LARGO, FL 33770-2388
(727) 518-0822
(727) 518-6511

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME 0069005
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378547500
FL
Enumeration date
10/12/2006
Last updated
10/06/2014
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