ANANDA SELVARAJ MD
NPI 1972598423
Radiology - Body Imaging in Patrick Afb, FL
- Individual
- Male
- Radiology
- Body Imaging
About ANANDA SELVARAJ
This page provides the complete NPI Profile along with additional information for Ananda Selvaraj, a provider established in Patrick Afb, Florida with a medical specialization in Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1972598423 assigned on September 2005. The practitioner's primary taxonomy code is 2085B0100X with license number ME0048301 (FL). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1972598423 Verify this NPI
- Provider Name
- ANANDA SELVARAJ MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1281 S PATRICK DR 45TH MEDICAL GROUP PATRICK AFB, FL 32925
- Location Phone
- (321) 494-6412
- Location Fax
- (321) 494-1378
- Mailing Address
- 1790 PORPOISE ST MERRITT ISLAND, FL 32952
- Mailing Phone
- (321) 459-2594
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2005
- Last Update Date
- 07-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Body Imaging
- Taxonomy Code
- 2085B0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME0048301
- License State
- FL
- Taxonomy Description
- A Radiology doctor of Osteopathy that specializes in Body Imaging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | A032311 (CA) |
| 2 | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | 4301035614 (MI) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972598423, enumerated as an "individual" on September 12, 2005.
The provider is located at 1281 S PATRICK DR 45TH MEDICAL GROUP PATRICK AFB, FL 32925 and the phone number is (321) 494-6412.
Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.
