Baliga, Rajendra S.

Baliga, Rajendra S. is an individual health care provider with primary practice located at 4710 N Habana Ave Ste 107 , Tampa FL 33614-7143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Baliga, Rajendra S. can be contacted via phone (813) 910-8708.

Contact Information

Primary practice address
4710 N Habana Ave Ste 107 Tampa FL 33614-7143
Fax: (855) 852-7153
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME82461 Florida

Profile Details

NPI number 1932103264
LBN Legal business name Baliga, Rajendra S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932103264 NPPES
Florida MEDICAID 269733500

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