Active NPIIndividual provider

Shyam Kumar R Injety, MMS, PA-C

Physician Assistant in Winter Haven, Florida

NPI Number1063886984
Practice location
200 Avenue F NE, Winter Haven, FL 33881-4131
Fax
—
Last updated
November 3, 2026

Shyam Kumar Rajendra Injety is a Physician Assistant based in Winter Haven, FL. Shyam Kumar Rajendra Injety practices in Winter Haven, FL and has the professional credentials of MMS, PA-C. The NPI Number for Shyam Kumar Rajendra Injety is 1063886984 and holds a License No. PA9108987 (FL). The current practice location address for Shyam Kumar Rajendra Injety is 200 Avenue F NE, Winter Haven, FL 33881-4131 and can be reached out via phone at 863-293-1121.

Provider Profile Details

NPI Number
1063886984
Provider Name
Shyam Kumar Rajendra Injety
Credential
MMS, PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Avenue F NE, Winter Haven, FL 33881-4131
Phone Number
863-293-1121
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 16, 2015
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Avenue F NE
Winter Haven, FL 33881-4131
State
Florida
Zip
33881-4131
Phone Number
863-293-1121
Winter Haven, FL 33881Get directions →

Provider Business Mailing Address Details

Address
200 Avenue F NE
Winter Haven, FL 33881-4193
City
Winter Haven
State
FL
Zip
33881-4193
Phone Number
863-293-1121

License Information

License Number
PA9108987
License State
FL
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shyam Kumar R Injety, MMS, PA-C?

The NPI number of Shyam Kumar R Injety, MMS, PA-C is 1063886984. It was assigned on November 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Shyam Kumar R Injety, MMS, PA-C?

Shyam Kumar R Injety, MMS, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in FL under license number PA9108987.

Where does Shyam Kumar R Injety, MMS, PA-C practice?

The practice location is 200 Avenue F NE, Winter Haven, FL 33881-4131. The office can be reached at 863-293-1121 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063886984 directly on the NPPES registry website.

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