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DR. RAJIVI POTHIRAJ RUCKER M.D.

Allergy and Immunology

Bradenton, Florida

Provider NPI: 1194721522

Provider Information:
DR. RAJIVI POTHIRAJ RUCKER M.D.


Practice Location:
6040 STATE ROAD 70 E  BRADENTON, FL 34203 US
Tel: 941-366-2273  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XPhysicians
Pediatrics
FLME84160

Other Provider Identifiers:

IssuerNumberStateType
004579100FL05
MEDICAREU2592YFL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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