Provider Demographics
NPI:1316038698
Name:RAJANI, RAJEEV (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:RAJANI
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 1:6615 HILLWAY CIR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-8755
Mailing Address - Country:US
Mailing Address - Phone:239-774-0345
Mailing Address - Fax:239-774-1783
Practice Address - Street 1:6615 HILLWAY CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-8755
Practice Address - Country:US
Practice Address - Phone:239-774-0345
Practice Address - Fax:239-774-1783
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD61519207R00000X, 208M00000X
FLME99073207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS1380075OtherCAREFIRST REGIONAL
MD405284600Medicaid
MDKJ15GB/642654OtherCAREFIRST MARYLAND
MD405284600Medicaid
MD725LJ710Medicare PIN