Organization
D P RAJU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANTULURI P RAJU M.D. (PRESIDENT)
(352) 622-1777
Entity
Organization
Contact information
Practice address
2840 S.E. 3 COURT, OCALA, FL 34471
(352) 622-1777
Mailing address
2840 S.E. 3 COURT, OCALA, FL 34471
(352) 622-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0034166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42139
BCBS FLORIDA
FL
Enumeration date
03/12/2010
Last updated
04/16/2010
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