Individual
DR. RAJENDRA S. BALIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4710 N HABANA AVE STE 107, TAMPA, FL 33614-7143
(813) 910-8708
(855) 852-7153
Mailing address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-8708
(855) 852-7153
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME82461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269733500
—
FL
Enumeration date
05/23/2005
Last updated
03/17/2018
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