Ghizlane Bouzghar Bahij, MD | |
2700 University Square Dr, Tampa, FL 33612-5513 | |
(813) 253-2721 | |
Not Available |
Full Name | Ghizlane Bouzghar Bahij |
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Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 2700 University Square Dr, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750649679 | NPI | - | NPPES |
103080700 | Medicaid | FL | |
6DFIK | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 139666 (Florida) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 036146236 (Illinois) | Secondary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Ghizlane Bouzghar Bahij, MD Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Ghizlane Bouzghar Bahij, MD 2700 University Square Dr, Tampa, FL 33612-5513 Ph: (813) 253-2721 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 888-663-3488 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Robert Paul Ruvolo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2137 West Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 941-349-3409 | |
Scott D Perrin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-251-5822 | |
Sen Lu, M.D., M.P.H. Radiology Medicare: Medicare Enrolled Practice Location: 17 Davis Blvd, Suite 308, Tampa, FL 33606 Phone: 813-259-8515 |