Provider Demographics
NPI:1104021039
Name:NARULA, RAJAN (DO)
Entity Type:Individual
Prefix:
First Name:RAJAN
Middle Name:
Last Name:NARULA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 ASHLEY OAKS CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6415
Mailing Address - Country:US
Mailing Address - Phone:813-994-4800
Mailing Address - Fax:813-994-4888
Practice Address - Street 1:2050 ASHLEY OAKS CIR STE 102
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6415
Practice Address - Country:US
Practice Address - Phone:813-994-4800
Practice Address - Fax:813-994-4888
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10833207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS 10833OtherSTATE LICENSURE
IL036-118540OtherIL STATE LIC