Dr. Amberpet Yesuraj Rathnam, MD
Pediatrics, Adolescent Medicine in Sunrise, FL. Individual provider (NPI-1).
NPI number1194802124
StatusActive
Last updated in NPPESNov 7, 2025
Details
- NPI
- 1194802124
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amberpet Yesuraj Rathnam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Certification date
- Nov 7, 2025
- Last updated
- Nov 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | ME90355 | FL | Yes |
| 208D00000X | General Practice | ME90355 | FL |
Practice location
6765 Sunset StripSuite 6 & 7
Sunrise, FL 33313-2894
Phone 954-572-7755 · Fax 954-572-7799
Mailing address
6765 Sunset Strip Ste 6Sunrise, FL 33313-2894
Phone 954-572-7755 · Fax 954-572-7799
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