Provider Demographics
NPI:1477102911
Name:INTERNATIONAL MULTI-SPECIALTY PHYSICIANS INC
Entity type:Organization
Organization Name:INTERNATIONAL MULTI-SPECIALTY PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJENDRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIDOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-623-7154
Mailing Address - Street 1:12959 PALMS WEST DR STE 110
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4938
Mailing Address - Country:US
Mailing Address - Phone:561-623-7154
Mailing Address - Fax:561-793-6688
Practice Address - Street 1:12959 PALMS WEST DR STE 110
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4938
Practice Address - Country:US
Practice Address - Phone:561-623-7154
Practice Address - Fax:561-793-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-07
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care