| Benakanahalli Md Pa | |
|
603 W Lumsden Rd Brandon FL 33511-5911 | |
| (813) 435-3912 | |
| (813) 655-3913 |
| Full Name | Benakanahalli Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 603 W Lumsden Rd, Brandon, Florida |
| Authorized Official Name and Position | Manjunath B Benakanahalli (OWNER) |
| Authorized Official Contact | 8134353912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benakanahalli Md Pa 603 W Lumsden Rd Brandon FL 33511-5911 Ph: (813) 435-3912 | Benakanahalli Md Pa 603 W Lumsden Rd Brandon FL 33511-5911 Ph: (813) 435-3912 |
| NPI Number | 1811224470 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 8224171186 |
|---|---|
| Medicare Enrollment ID | O20100201000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811224470 | NPI | - | NPPES |
| ME97496 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME97496 (Florida) | Primary |
| Provider Name | Manjunath B Benakanahalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619067428 PECOS PAC ID: 5890884100 Enrollment ID: I20071208000162 |
Verimed Health Group Brandon, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Vonderburg Dr Ste 310, Brandon, FL 33511 Phone: 813-324-9463 Fax: 813-502-6385 | |
Medi Brandon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 W Bloomingdale Ave, Brandon, FL 33511 Phone: 813-654-1110 | |
Advanced Adult Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 Nikki View Dr, Brandon, FL 33511 Phone: 813-876-7600 Fax: 813-533-7377 | |
Diaz Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Bryan Rd, Suite 1, Brandon, FL 33511 Phone: 813-684-6867 | |
Florida Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 | |
Care Plus Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519a E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-4100 | |
Imad Al-nakshabendi M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 S Kings Ave, Brandon, FL 33511 Phone: 813-972-3750 Fax: 813-972-3749 |