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Mrs. Premala Raja, MD
Cardiovascular Disease Physician in Englewood, Florida
NPI 1194736504

Premala Raja is a Cardiovascular Disease Physician based in Englewood, FL and is specialized in Cardiovascular Disease. Premala Raja practices in Englewood, FL and has the professional credentials of MD. The NPI Number for Premala Raja is 1194736504 and holds a License No. ME40190 (Florida).

The current practice location address for Premala Raja is 900 E Pine Street, Englewood, FL and can be reached out via phone at 941-475-5672 and via fax at 941-473-1456.

Location: 900 E Pine Street, Englewood, FL, 34223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194736504
Provider Name
Premala Raja
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
900 E Pine Street, Englewood, FL, 34223
Phone Number
941-475-5672
Fax Number
941-473-1456
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00050930 01 FL MEDICARE RAILROAD
79881 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
900 E Pine Street
City
Englewood
State
Florida
Zip
34223
Phone Number
941-475-5672
Fax Number
941-473-1456
person
Provider Business Mailing Address Details
Address
900 E Pine Street
City
Englewood
State
Florida
Zip
34223
Phone Number
941-475-5672
Fax Number
941-473-1456
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ME40190 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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