Provider Demographics
NPI:1235114364
Name:KARKARE, RAJENDRA (MD)
Entity Type:Individual
Prefix:
First Name:RAJENDRA
Middle Name:
Last Name:KARKARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 JOHNSON BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-4875
Mailing Address - Country:US
Mailing Address - Phone:727-392-8500
Mailing Address - Fax:727-392-8204
Practice Address - Street 1:10700 JOHNSON BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-4875
Practice Address - Country:US
Practice Address - Phone:727-392-8500
Practice Address - Fax:727-392-8204
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0077104207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1366575789OtherPRACTICE NPI
FL256361400Medicaid
FLE2509XMedicare PIN
1366575789OtherPRACTICE NPI