KANTILAL N. BHADJA (NPI# 1033162052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033162052 |
| Entity Type | Individual |
| Full Name | KANTILAL N. BHADJA |
| Credential | M. D. |
| Practice Address |
4223 W El Prado Blvd Tampa FL 33629-8402 |
| Mailing Address |
10051 5th St N Ste 200 St Petersburg FL 33702-2211 |
| Practice Telephone | 8138395253 |
| Practice Fax Number | 8138392953 |
| Mailing Telephone | 7278240780 |
| Mailing Fax Number | 7275686011 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME48738 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA PROVIDER# | 0622095 | 01 |
| FL | FLORIDA MEDCIAL LICENSE # | ME487378 | 01 |
| FL | MEDIPASS ID# | 061105100 | 01 |
| FL | AVMED PROVIDER ID | 083738 | 01 |
| FL | BLUE SHIELD ID | 04608 | 01 |
| FL | WELLCARE PROVIDER ID | 207373 | 01 |
| FL | CIGNA PROVIDER ID | 401123811 | 01 |
| FL | 047380400 | 05 |
| Street Address |
4223 W EL PRADO BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33629-8402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162612 | Jake Morris | Counselor | 4003 W Morrison Ave, Tampa, FL 33629 | 2018-04-25 |
| 1689192411 | Madalyn Turner | Chiropractor | 3409 W Bay To Bay Blvd Ste B, Tampa, FL 33629 | 2017-08-31 |
| 1063865673 | South Tampa Dental Studio | Dentist | 4306 West Kensington Ave., Tampa, FL 33629 | 2016-07-19 |
| 1093198160 | Mi Ae Kwon | Dentist | 3739 W. Neptune St., Tampa, FL 33629 | 2015-07-07 |
| 1013394568 | Etairos Health, Inc | In Home Supportive Care | 2301 W Palm Ave, Tampa, FL 33629 | 2015-05-05 |
| 1053702589 | Kantilal N. Bhadja, Md | Internal Medicine | 4223 W. El Prado Blvd, Tampa, FL 33629 | 2015-02-05 |
| 1801174016 | Wang & Cortes Dental | Dentist | 1008 South Clearview Avenue, Tampa, FL 33629 | 2011-07-22 |
| 1174826176 | Jada Rae Danielle Traub | Behavioral Analyst | 3271 S. Macdill Ave, Tampa, FL 33629 | 2010-12-13 |
| 1275849846 | Kara Dawson | Physical Therapy Assistant | 3614 South Dale Mabry, Tampa, FL 33629 | 2010-08-20 |
| 1225350580 | Monteleone & Kessler, P.l. | Dentist | 4014 W. Estrella St., Suite B, Tampa, FL 33629 | 2010-02-26 |
| Find all providers in zip 33629 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
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| 1417583956 | William F Mcgrogan Md Pllc | Internal Medicine | 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 | 2020-03-17 |
| 1679120471 | Printha Md Internal Medicine Inc | Internal Medicine | 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 | 2019-08-26 |
| 1184185001 | A Plus Medcare LLC | Internal Medicine | 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 | 2019-03-26 |
| 1770040685 | Skalan LLC | Internal Medicine | 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 | 2019-02-27 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1568926038 | Karadayi Health Inc | Internal Medicine | 2916 W Bayshore Ct, Tampa, FL 33611-2808 | 2019-01-29 |
| 1881178242 | Angel Medical Clinic, LLC | Internal Medicine | 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 | 2018-09-21 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.