Radharaj, INC
Family Medicine in Port Orange, FL. Organization (NPI-2).
NPI number1245305440
StatusActive
Last updated in NPPESJun 17, 2008
Details
- NPI
- 1245305440
- Entity type
- Organization (NPI-2)
- Legal business name
- Radharaj, INC
- Organization subpart
- No
- Enumeration date
- Nov 22, 2006
- Last updated
- Jun 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Bhadresh I. Patel, M.D. (Doing Business As)
Practice location
802 Dunlawton AveSuite 101
Port Orange, FL 32127
Phone 386-788-9086 · Fax 386-788-6589
Mailing address
802 Dunlawton AveSuite 101
Port Orange, FL 32127
Phone 386-788-9086 · Fax 386-788-6589
Authorized official
Bhadresh I Patel
President
3867889086
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