Rajcoomar, Bhagwandatt

Rajcoomar, Bhagwandatt is an sole proprietor health care provider with primary practice located at 4765 S Congress Ave Ste B , Lake Worth FL 33461-4700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Rajcoomar, Bhagwandatt can be contacted via phone (561) 965-5705.

Contact Information

Primary practice address
4765 S Congress Ave Ste B Lake Worth FL 33461-4700
Phone: (561) 965-5705
Fax: (561) 964-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME35579 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME35579 Florida

Profile Details

NPI number 1104994227
LBN Legal business name Rajcoomar, Bhagwandatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Apr 1st, 2024 - about 8 months 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 1104994227 NPPES
Florida MEDICAID 048779100

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