Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Family Medicine & Imaging

Family Medicine Physician in Sanford, FL · enumerated 2020 · authorized official Raj Kandavanam, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164018743

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Registry record

Entity type Organization (Type 2)

Legal business name Lake Family Medicine & Imaging

Practice address 1403 Medical Plaza Dr Ste 100, Sanford, FL, 32771

Phone (407) 559-5100

Fax (407) 559-5110

Enumeration date Dec 17, 2020

Last updated in NPPES Dec 17, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Raj Kandavanam

Title Owner

Phone (407) 559-5100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-17. Verify at npiregistry.cms.hhs.gov.

Where is Lake Family Medicine & Imaging located?

The practice location on file with NPPES is in Sanford, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-17.