Provider Demographics
NPI:1265055412
Name:VRAJ MEDICAL LLC
Entity type:Organization
Organization Name:VRAJ MEDICAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIHIR
Authorized Official - Middle Name:RAMNIKLAL
Authorized Official - Last Name:FALDU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-603-9134
Mailing Address - Street 1:1942 W. CR 419
Mailing Address - Street 2:STE 1060
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32766
Mailing Address - Country:US
Mailing Address - Phone:407-603-9134
Mailing Address - Fax:
Practice Address - Street 1:1942 W COUNTY ROAD 419 STE 1060
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32766-9024
Practice Address - Country:US
Practice Address - Phone:407-603-9134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty