| Aj Bidani, M.d. Pa | |
|
8787 Bryan Dairy Rd Ste 310 Largo FL 33777-1251 | |
| (727) 393-1155 | |
| Not Available |
| Full Name | Aj Bidani, M.d. Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8787 Bryan Dairy Rd, Largo, Florida |
| Authorized Official Name and Position | Jatin A Bidani (PRESIDENT) |
| Authorized Official Contact | 7273931155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aj Bidani, M.d. Pa 8787 Bryan Dairy Rd Ste 310 Largo FL 33777-1251 Ph: (727) 393-1155 | Aj Bidani, M.d. Pa 8787 Bryan Dairy Rd Ste 310 Largo FL 33777-1251 Ph: (727) 393-1155 |
| NPI Number | 1417233818 |
|---|---|
| Provider Enumeration Date | 10/29/2011 |
| Last Update Date | 10/29/2011 |
| Medicare PECOS PAC ID | 0042485922 |
|---|---|
| Medicare Enrollment ID | O20111205000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417233818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0068608 (Florida) | Primary |
| Provider Name | Jatin Bidani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770544298 PECOS PAC ID: 0244316214 Enrollment ID: I20111130000021 |
| Provider Name | Nicholas Lancia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700959590 PECOS PAC ID: 3375853138 Enrollment ID: I20161117000581 |
| Provider Name | Badal Sunil Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962765511 PECOS PAC ID: 2365787157 Enrollment ID: I20181226000858 |
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