Antonyrajah, Bernadette C.

Antonyrajah, Bernadette C. is an individual health care provider with primary practice located at 1111 6Th Ave , Des Moines IA 50314-2613. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Antonyrajah, Bernadette C. can be contacted via phone (515) 247-3330.

Contact Information

Primary practice address
1111 6Th Ave Des Moines IA 50314-2613
Phone: (515) 247-3330
Fax: (515) 643-8839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X ME113647 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X ME113647 Florida
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD-43932 Iowa
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME113647 Florida

Profile Details

NPI number 1295997666
LBN Legal business name Antonyrajah, Bernadette C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Jan 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295997666 NPPES
Florida MEDICAID 006240200
Florida Other 14LE6

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