Provider Demographics
NPI:1336347335
Name:RAJADHYAKSHA, CHETAN D (MD)
Entity Type:Individual
Prefix:
First Name:CHETAN
Middle Name:D
Last Name:RAJADHYAKSHA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1150 NW 14TH ST
Mailing Address - Street 2:602
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2137
Mailing Address - Country:US
Mailing Address - Phone:305-243-7688
Mailing Address - Fax:305-243-8470
Practice Address - Street 1:1150 NW 14TH ST
Practice Address - Street 2:602
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2137
Practice Address - Country:US
Practice Address - Phone:305-243-7688
Practice Address - Fax:305-243-8470
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME977852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology