Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raj Kandavanam, MD

Individual provider Family Medicine Physician · NPI 1821223587

Raj Kandavanam, MD is a Family Practice in Deland, Florida. Qualified in 2009, 17 years ago. Practices with Ability Health Services, Inc, a 1,232-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
17
Licensed in
FL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1590 S Sr 15A Ste 100
Deland, FL 32720-7817
Phone: (386) 774-0016
Fax: (386) 774-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME111840 (FL)

Record details

NPI number1821223587
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2009
Last updated in NPPESMay 1, 2013
Mailing address1590 S Sr 15a, Suite 100, Deland, FL 32720-7817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ability Health Services, Inc — 1232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Deland