Rucker, Rajivi Pothiraj
Rucker, Rajivi Pothiraj is an individual health care provider with primary practice located at 1250 S Tamiami Trl Ste 302 , Sarasota FL 34239-2221. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Rucker, Rajivi Pothiraj can be contacted via phone (941) 877-5983.Contact Information
Primary practice address
1250 S Tamiami Trl Ste 302
Sarasota FL 34239-2221
Phone: (941) 877-5983
Fax: (941) 957-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME84160 | Florida |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ME84160 | Florida |
Profile Details
| NPI number | 1194721522 |
|---|---|
| LBN Legal business name | Rucker, Rajivi Pothiraj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Jul 21st, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194721522 | NPPES |
| Florida | Other | 48958 | FL BLUE |
| Florida | Other | KI170 | FL BLUE |
| Florida | MEDICAID | 004579100 | FL BLUE |
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