Kantilal N. Bhadja M. D.
Internal Medicine Physician in Tampa, FL(View on Map)
Full Name
Kantilal N. Bhadja M. D.
NPI Number
1033162052
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/19/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME48738
Contact
Information
Purpose
Mailing
Location
Address
3010 W AZEELE ST STE 100
3010 W AZEELE ST STE 100
City
Tampa
Tampa
State
FL
FL
Postal Code
33609-3577
33609-3577
Country
US
US
Telephone Number
(813) 251-0194
(813) 251-0194
Identifiers
Identifier
083738
04608
0622095
207373
061105100
047380400
401123811
ME487378
Identifier State
FL
FL
FL
FL
FL
FL
FL
FL
Identifier Issuer
AVMED PROVIDER ID
BLUE SHIELD ID
AETNA PROVIDER#
WELLCARE PROVIDER ID
MEDIPASS ID#
Unknown
CIGNA PROVIDER ID
FLORIDA MEDCIAL LICENSE #
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/12/2021
Provider Address
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