Provider Demographics
NPI:1164196234
Name:RAJKUMAR, CELINA
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:RAJKUMAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2572 CORAL SPRINGS DR # 72
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3858
Mailing Address - Country:US
Mailing Address - Phone:954-889-4675
Mailing Address - Fax:
Practice Address - Street 1:2572 CORAL SPRINGS DR # 72
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3858
Practice Address - Country:US
Practice Address - Phone:954-889-4675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula