SURESH RAJA MD LLC
NPI 1104446467
Specialist in Palm Beach Gardens, FL

Q: What is Suresh Raja MD LLC's NPI number?

The NPI number for Suresh Raja MD LLC is 1104446467. It was assigned to this organization in the NPPES registry on April 16, 2020.

Q: What is Suresh Raja MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 16, 2020

11104 GREEN BAYBERRY DR, PALM BEACH GARDENS, FL 33418(561) 767-0721 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Apr 16, 2020 (2 updates tracked since 2020).

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About Suresh Raja Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH RAJA MD LLC (NPI 1104446467) is a healthcare organization registered as a specialist in Palm Beach Gardens, Florida and active in the NPI registry since April 2020. The organization lists Suresh Rajamanickam, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1104446467

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSURESH RAJA MD LLC

Location Address11104 GREEN BAYBERRY DRPalm Beach Gardens, FL 33418-1510

Mailing Address11104 Green Bayberry DrPalm Beach Gardens, FL 33418-1510 · (561) 767-0721 · Fax (561) 429-6223

Phone(561) 767-0721

Organization SubpartNo

Authorized OfficialSuresh RajamanickamDirect Owner · (561) 767-0721

Enumeration DateApril 16, 2020

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 28, 2023

✔ NPI 1104446467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedClinic/Center · ResearchTaxonomy 261QR1100X

11104 GREEN BAYBERRY DR, Palm Beach Gardens, FL 33418

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Raja MD LLC's NPI number?

The NPI number for Suresh Raja MD LLC is 1104446467. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is Suresh Raja MD LLC located?

Suresh Raja MD LLC is located at 11104 Green Bayberry Dr, Palm Beach Gardens, FL 33418. The listed phone number is (561) 767-0721.

What is Suresh Raja MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Suresh Raja MD LLC was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.