Vijay Diwadkar


Address: 701 W M L King Blvd, Tampa, FL 33603-3103

Vijay Diwadkar (NPI# 1861581720, PAC ID# 5496921587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861581720
PAC ID by PECOS 5496921587
Professional Enrollment ID I20111220000234
Full Name Vijay Diwadkar
Address 701 W M L King Blvd
Tampa
FL 33603-3103
Gender M
Graduation Year 1973
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100075 ST JOSEPHS HOSPITAL

Other Locations

Address Phone Organization
701 W M L King Blvd, Tampa, FL 33603-3103

Organization Information

Office Location

Street Address 701 W M L KING BLVD
City TAMPA
State FL
Zip 33603-3103

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Competitor

Search similar physicians

City TAMPA
Zip Code 33603
Specialty FAMILY MEDICINE
City + Specialty TAMPA + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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