Provider Demographics
NPI:1598723041
Name:RAJCHGOT, DANNY
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:RAJCHGOT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2081 S OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6625
Mailing Address - Country:US
Mailing Address - Phone:954-816-5535
Mailing Address - Fax:
Practice Address - Street 1:2081 S OCEAN DR
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-6647
Practice Address - Country:US
Practice Address - Phone:954-816-5535
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6790111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor