Kalyan K Bachu, MD | |
2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 | |
(347) 853-4719 | |
Not Available |
Full Name | Kalyan K Bachu |
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Gender | Male |
Speciality | Internal Medicine |
Location | 2180 W State Road 434, Longwood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497916183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | ME107952 (Florida) | Primary |
207R00000X | Internal Medicine | 258972 (New York) | Secondary |
Entity Name | Cogent Healthcare Of Jacksonville, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
Mailing Address | Practice Location Address |
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Kalyan K Bachu, MD 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 Ph: (347) 853-4719 | Kalyan K Bachu, MD 2180 W State Road 434, Suite 2110, Longwood, FL 32779-5041 Ph: (347) 853-4719 |
Elizabeth Henderson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Longwood, FL 32750 Phone: 077-671-2004 | |
Antonio L. Rodriguez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 West State Rd. 434, Suite 203, Longwood, FL 32750 Phone: 407-265-7775 Fax: 407-265-2266 | |
Dr. Denise Panuccio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Sr 434, Ste 112, Longwood, FL 32750 Phone: 407-869-8747 Fax: 407-869-8108 | |
Maria Rosado, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W State Road 434, Mp Ss Admin, Longwood, FL 32750 Phone: 321-842-2994 Fax: 407-767-5801 | |
Orlando Benitez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Wekiva Springs Rd, Suite 1000, Longwood, FL 32779 Phone: 407-788-2273 Fax: 407-389-2273 | |
Anthony Gielow, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 W State Road 434 Ste 301, Longwood, FL 32750 Phone: 407-767-5808 Fax: 407-767-5892 | |
Khalid Yaqoob, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 W State Road 434, Ste 301, Longwood, FL 32750 Phone: 407-767-8200 Fax: 407-339-1200 |