| Gopal & Saroj Basisht Ptr | |
|
1300 Edgewater Dr Orlando FL 32804-6351 | |
| (407) 423-5520 | |
| Not Available |
| Full Name | Gopal & Saroj Basisht Ptr |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Edgewater Dr, Orlando, Florida |
| Authorized Official Name and Position | Gopal K Basisht (OWNER) |
| Authorized Official Contact | 4074235520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gopal & Saroj Basisht Ptr 1300 Edgewater Dr Orlando FL 32804-6351 Ph: (407) 423-5520 | Gopal & Saroj Basisht Ptr 1300 Edgewater Dr Orlando FL 32804-6351 Ph: (407) 423-5520 |
| NPI Number | 1164683942 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164683942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0027659 (Florida) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | ME0027658 (Florida) | Secondary |
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