| Rajive K Das MD | |
|
1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 | |
| (321) 725-9800 | |
| (321) 725-9978 |
| Full Name | Rajive K Das MD |
|---|---|
| Speciality | Family Medicine |
| Location | 1071 Port Malabar Blvd Ne Ste 111, Palm Bay, Florida |
| Authorized Official Name and Position | Amanda Santos (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 3217259800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rajive K Das MD 1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 Ph: (321) 725-9800 | Rajive K Das MD 1071 Port Malabar Blvd Ne Ste 111 Palm Bay FL 32905-5161 Ph: (321) 725-9800 |
| NPI Number | 1518652890 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 1850757337 |
|---|---|
| Medicare Enrollment ID | O20230525003034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518652890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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