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DR. BHAGWANDATT RAJCOOMAR M.D.
NPI 1104994227
Family Medicine - Addiction Medicine in Lake Worth, FL

Active since November 30, 2006
4765 S CONGRESS AVE STE B, LAKE WORTH, FL 33461(561) 965-5705(561) 964-1188 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bhagwandatt Rajcoomar M.d. NPPES

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

DR. BHAGWANDATT RAJCOOMAR M.D. (NPI 1104994227) is an individual addiction medicine provider in Lake Worth, Florida, licensed in Florida (ME35579) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104994227
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameDR. BHAGWANDATT RAJCOOMARCredential: M.D.
Location Address4765 S CONGRESS AVE STE BLake Worth, FL 33461-4700
Mailing Address4765 S Congress Ave Ste BLake Worth, FL 33461-4700 · (561) 965-5705 · Fax (561) 964-1188
Phone(561) 965-5705
Fax(561) 964-1188
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1104994227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in FL · ME35579
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME35579 (FL)
4765 S CONGRESS AVE STE B, Lake Worth, FL 33461
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Other Names 1

Other Name (5)Dr. Bob Rajcoomar M.d.

Other Identifiers 1

Medicaid048779100FL

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 Bhagwandatt Rajcoomar's NPI number?

The NPI number for Bhagwandatt Rajcoomar is 1104994227. It was assigned to this individual provider in the NPPES registry on November 30, 2006. The provider is also known as Dr. Bob Rajcoomar M.D..

Where is Bhagwandatt Rajcoomar located?

Bhagwandatt Rajcoomar practices at 4765 S Congress Ave Ste B, Lake Worth, FL 33461. The listed phone number is (561) 965-5705.

What is Bhagwandatt Rajcoomar's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Bhagwandatt Rajcoomar was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.