Doctor Name: | DR. RAJESH K AILANI |
NPI Number: | 1649277880 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME89115 |
Business Practice Address: | 1055 N Dixie Fwy Suite 1 New Smyrna Beach, FL - 321686201 |
Business Phone Number: | 3864230505 |
Business Fax Number: | 3864230515 |
Mailing Address: | 1055 N Dixie Fwy, Suite 1 NEW SMYRNA BEACH |
State: | FL |
Postal Code: | 321686201 |
Phone Number: | 3864230505 |
Fax Number: | 3864230515 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 11/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME89115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |