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Individual

RAJAKUMAR THOTAKURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3740 185TH TRL, LOXAHATCHEE, FL 33470-2401
(336) 486-1111
Mailing address
3740 185TH TRL, LOXAHATCHEE, FL 33470-2401
(336) 486-1111

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9300344
NC
2084P0800X
Psychiatry Physician
ME174696
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83345
BCBS OF NC
05
8983345
NC
Enumeration date
10/26/2006
Last updated
05/12/2026
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