DR. IMRAN HYDERALI RAJWANI (NPI# 1205085107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205085107 |
| Entity Type | Individual |
| Full Name | DR. IMRAN HYDERALI RAJWANI |
| Credential | M.D. |
| Practice Address |
309 Kingsley Lake Dr Suite No. 904 St Augustine FL 32092-3047 |
| Practice Telephone | 9048240577 |
| Mailing Telephone | 9048240577 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME88744 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
309 KINGSLEY LAKE DR SUITE NO. 904 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154793339 | George S Tellam | Podiatrist | 309 Kingsley Lake Dr, # 901, St Augustine, FL 32092-3047 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172779 | Flagler Family Nursing Home Care LLC | Family Medicine | 130 Healthpark Blvd, St Augustine, FL 32086-5776 | 2020-10-20 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1821406679 | Flagler Family Medicine Pa | Family Medicine | 315 W Town Pl Ste 1, St Augustine, FL 32092-3105 | 2014-07-24 |
| 1114351079 | Vip Doctors Care of St Augustine LLC | Family Medicine | 655 State Road 207, Suite 102, St Augustine, FL 32084-5937 | 2013-08-28 |
| 1851463731 | Dudley Atkin Baringer | Family Medicine | 120 Health Park Blvd, Suite 1, St Augustine, FL 32086-3701 | 2006-11-15 |
| 1932215571 | Anastasia Family and Urgent Care | Family Medicine | 103 Anastasia Blvd, St Augustine, FL 32080-4503 | 2006-08-23 |
| 1649383845 | Roy H Hinman Md Pa | Family Medicine | 100 Arricola Avenue, St Augustine, FL 32080-4515 | 2006-08-15 |
| 1710090915 | Daniel J Donofrio | Family Medicine | 1099 A1a Beach Blvd, St Augustine, FL 32080 | 2006-08-15 |
| 1225051238 | Zehra Cumber | Family Medicine | 1955 Us 1 S Ste 100, St Augustine, FL 32086-5788 | 2006-07-25 |
| 1548282684 | Malgorzata Kaluza | Family Medicine | 308 Kingsley Lake Dr Ste 802, St Augustine, FL 32092-3046 | 2006-07-25 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.