Dr Komala N Bhushan, MD | |
512 N Lecanto Hwy # 491, Lecanto, FL 34461-8547 | |
(352) 527-2244 | |
Not Available |
Full Name | Dr Komala N Bhushan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 512 N Lecanto Hwy # 491, Lecanto, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457412801 | NPI | - | NPPES |
74732 | Other | FL | BLUE SHIELD PROVIDER# |
201205 | Other | FL | AMERI GROUP |
21644 | Other | FL | HEALTHEASE & HEALTHYKIDS |
270492700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME06580 (Florida) | Primary |
Entity Name | Project Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437180239 PECOS PAC ID: 0446153399 Enrollment ID: O20040601001397 |
Mailing Address | Practice Location Address |
---|---|
Dr Komala N Bhushan, MD 556 W Britain St, Hernando, FL 34442-8200 Ph: (352) 527-2944 | Dr Komala N Bhushan, MD 512 N Lecanto Hwy # 491, Lecanto, FL 34461-8547 Ph: (352) 527-2244 |
Esther Gonzalez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 W Sovereign Path, Lecanto, FL 34461 Phone: 352-527-0068 Fax: 352-795-7883 | |
Lilia Rashitovna Shammas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |