Provider Demographics
NPI:1326230442
Name:RAJADHYAKSHA, AMAR DILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:AMAR
Middle Name:DILIP
Last Name:RAJADHYAKSHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11801 SW 90TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2182
Mailing Address - Country:US
Mailing Address - Phone:305-595-1317
Mailing Address - Fax:305-595-0157
Practice Address - Street 1:11801 SW 90TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2182
Practice Address - Country:US
Practice Address - Phone:305-595-1317
Practice Address - Fax:305-595-0157
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2012-08-31
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Provider Licenses
StateLicense IDTaxonomies
NY243296207X00000X
FLME96884207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery