Provider Demographics
NPI:1457367088
Name:NARASIMAIAH, RAJASHEKAR (MD)
Entity Type:Individual
Prefix:
First Name:RAJASHEKAR
Middle Name:
Last Name:NARASIMAIAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33188 COASTAL HWY
Mailing Address - Street 2:UNIT 4
Mailing Address - City:BETHANY BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19930-3779
Mailing Address - Country:US
Mailing Address - Phone:302-537-1100
Mailing Address - Fax:302-537-0921
Practice Address - Street 1:33188 COASTAL HWY
Practice Address - Street 2:UNIT 4
Practice Address - City:BETHANY BEACH
Practice Address - State:DE
Practice Address - Zip Code:19930-3779
Practice Address - Country:US
Practice Address - Phone:302-537-1100
Practice Address - Fax:302-537-0921
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP00382882OtherRAILROAD MEDICARE