| Bay Area Internist Inc | |
|
5520 Dr Martin Luther King Jr St N Saint Petersburg FL 33703-1204 | |
| (727) 526-1775 | |
| (727) 526-5764 |
| Full Name | Bay Area Internist Inc |
|---|---|
| Speciality | General Practice |
| Location | 5520 Dr Martin Luther King Jr St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Bhanuprasad Patel (PRESIDENT) |
| Authorized Official Contact | 7275261775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Internist Inc 5520 Dr Martin Luther King Jr St N Saint Petersburg FL 33703-1204 Ph: (727) 526-1775 | Bay Area Internist Inc 5520 Dr Martin Luther King Jr St N Saint Petersburg FL 33703-1204 Ph: (727) 526-1775 |
| NPI Number | 1689885527 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/29/2012 |
| Medicare PECOS PAC ID | 9931169497 |
|---|---|
| Medicare Enrollment ID | O20041019000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689885527 | NPI | - | NPPES |
| 269999100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0088299 (Florida) | Primary |
| Provider Name | Banaupras Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629006259 PECOS PAC ID: 1759288566 Enrollment ID: I20031218000252 |
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