Vishen, Rajesh Kumar
Vishen, Rajesh Kumar is an individual health care provider with primary practice located at 165 Wells Rd , Orange Park FL 32073-3035. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vishen, Rajesh Kumar can be contacted via phone (904) 264-3111.Contact Information
Primary practice address
165 Wells Rd
Orange Park FL 32073-3035
Phone: (904) 264-3111
Fax: (904) 264-3213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 510444005 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0074218 | Florida |
Profile Details
| NPI number | 1346240504 |
|---|---|
| LBN Legal business name | Vishen, Rajesh Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Dec 5th, 2013 - about 12 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 | 1346240504 | NPPES |
| Florida | MEDICAID | 253554800 |
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