Provider Demographics
NPI:1114214301
Name:MARAJ, PAUL PARMANAND (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:PARMANAND
Last Name:MARAJ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 SHIRCLIFF WAY
Mailing Address - Street 2:SUITE 700 DEPAUL BLDG
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204
Mailing Address - Country:US
Mailing Address - Phone:904-389-5333
Mailing Address - Fax:904-389-5332
Practice Address - Street 1:836 PRUDENTIAL DRIVE
Practice Address - Street 2:SUITE 804 PAVILION BLDG
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207
Practice Address - Country:US
Practice Address - Phone:904-389-5333
Practice Address - Fax:904-389-5332
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2020-10-05
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Provider Licenses
StateLicense IDTaxonomies
KS04-38562207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106273900Medicaid