Provider Demographics
NPI:1689747487
Name:MAHARAJ, DIPNARINE (MB,CHB,MD,FRCP)
Entity Type:Individual
Prefix:MR
First Name:DIPNARINE
Middle Name:
Last Name:MAHARAJ
Suffix:
Gender:M
Credentials:MB,CHB,MD,FRCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 HAGEN RANCH RD
Mailing Address - Street 2:SUITE # 600
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-3724
Mailing Address - Country:US
Mailing Address - Phone:561-752-5522
Mailing Address - Fax:561-752-5446
Practice Address - Street 1:10301 HAGEN RANCH RD
Practice Address - Street 2:SUITE # 600
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3724
Practice Address - Country:US
Practice Address - Phone:561-752-5522
Practice Address - Fax:561-752-5446
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60567207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF01847Medicare UPIN