| Chandra Bapna Md | |
|
5106 N Armenia Ave Ste 4 Tampa FL 33603-1433 | |
| (813) 931-2366 | |
| (813) 936-8886 |
| Full Name | Chandra Bapna Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 5106 N Armenia Ave Ste 4, Tampa, Florida |
| Authorized Official Name and Position | Chandra Prakash Bapna (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8139312366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandra Bapna Md 5106 N Armenia Ave Ste 4 Tampa FL 33603-1433 Ph: (813) 931-2366 | Chandra Bapna Md 5106 N Armenia Ave Ste 4 Tampa FL 33603-1433 Ph: (813) 931-2366 |
| NPI Number | 1114927027 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 01/29/2020 |
| Medicare PECOS PAC ID | 4688835036 |
|---|---|
| Medicare Enrollment ID | O20120412000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114927027 | NPI | - | NPPES |
| 379318400 | Medicaid | FL | |
| 28453 | Other | FL | BCBS |
| 110150380 | Other | FL | RR MEDICARE |
| 201223 | Other | FL | AMERIGROUP |
| 246331 | Other | FL | AVMED |
| ME0068445 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0068445 (Florida) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Chandra P Bapna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922008366 PECOS PAC ID: 2668633017 Enrollment ID: I20120419000219 |
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