Provider Demographics
NPI:1669603601
Name:TOTA-MAHARAJ, ASHA GEETA (MD)
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:GEETA
Last Name:TOTA-MAHARAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHA
Other - Middle Name:GEETA
Other - Last Name:RAMESAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3626 LOWER PARK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6383
Mailing Address - Country:US
Mailing Address - Phone:347-681-4136
Mailing Address - Fax:407-550-6771
Practice Address - Street 1:320 N EDINBURGH DR STE B
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4157
Practice Address - Country:US
Practice Address - Phone:407-974-7856
Practice Address - Fax:407-550-6771
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129067207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004235900Medicaid
FLIS364ZMedicare PIN