AKSHAYA BALAJI LLC (NPI# 1891817029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891817029 |
| Entity Type | Organization |
| Organization Name | AKSHAYA BALAJI LLC |
| Practice Address |
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167 |
| Mailing Address |
6000 Tarawood Dr Orlando FL 32819-4422 |
| Practice Telephone | 4076500018 |
| Practice Fax Number | 4076500118 |
| Mailing Telephone | 4076500018 |
| Mailing Fax Number | 4076500118 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | DR. RAVI NAGARAJAN (PRESIDENT) |
| Authorized Official Telephone | 4076500018 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 72472 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254154800 | 05 |
| Street Address |
301 MEMORIAL MEDICAL PKWY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588788 | Kathleen Ann Williams | Internal Medicine | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2005-12-14 |
| 1790385029 | James Edward Collie | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-10-27 |
| 1568077501 | Christian H Schadt | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-09-15 |
| 1982220620 | Olatoun Okediji | Social Worker | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-06-18 |
| 1962038554 | Maria Clea Dulay | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1659907244 | Lisa Wisniewski | Physical Therapist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2020-03-16 |
| 1386287506 | Kristin Warner | Registered Nurse | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-21 |
| 1841832797 | Morgan Nicole Miles | Hospitalist | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-10-11 |
| 1508329780 | Samantha Snowden | Nurse Practitioner | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-13 |
| 1114489812 | Lindsay Schneider | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588014088 | Guerlyne Bellevue | Specialist | 317 Parkway St, Daytona Beach, FL 32114-3031 | 2016-06-15 |
| 1407286727 | Mja Healthcare of Florida, PC | Specialist | 912 S. Ridgewood Avenue, Suite D, Daytona Beach, FL 32114 | 2013-11-22 |
| 1487825428 | Atlantic Endocrine Associates P A | Specialist | 1360 Mason Ave, Suite C, Daytona Beach, FL 32117-5529 | 2008-03-18 |
| 1467633891 | Daniel A Dotson | Specialist | 2595 W International Speedway Blvd, Daytona Beach, FL 32114-1118 | 2007-11-14 |
| 1609097906 | Christopher Constantine Choporis | Specialist | 2430 S Peninsula Dr, Daytona Beach, FL 32118-5414 | 2007-05-02 |
| 1679664098 | All Family Clinic of Daytona Beach, Inc | Specialist | 1040 Mason Avenue, Daytona Beach, FL 32117 | 2006-09-28 |
| 1467466508 | Richard David Morris | Specialist | 1360 Mason Ave Ste C, Daytona Beach, FL 32117-5530 | 2006-07-27 |
| 1164461299 | James K Hitchman | Specialist | 149 Key Colony Ct, Daytona Beach, FL 32118-5654 | 2006-06-05 |
| 1538111513 | Cardiology Physicians Pa | Specialist | 305 Memorial Medical Parkway, Ste 301, Daytona Beach, FL 32117 | 2006-05-17 |
| 1053361733 | Kim B Csabi | Specialist | 1200 W International Speedway Blvd, Athletic Department, Daytona Beach, FL 32114-2817 | 2006-05-11 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.