| Kirti Bhargava-patel, Md, Pa | |
|
2100 16th St N St Petersburg FL 33704-3924 | |
| (727) 895-9200 | |
| (727) 895-1199 |
| Full Name | Kirti Bhargava-patel, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 16th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Kirti Bhargava-patel (PHYSICIAN) |
| Authorized Official Contact | 7278959200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirti Bhargava-patel, Md, Pa Po Box 56240 St Petersburg FL 33732-6240 Ph: (727) 895-9200 | Kirti Bhargava-patel, Md, Pa 2100 16th St N St Petersburg FL 33704-3924 Ph: (727) 895-9200 |
| NPI Number | 1740511955 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 07/18/2019 |
| Medicare PECOS PAC ID | 7911803945 |
|---|---|
| Medicare Enrollment ID | O20031210000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740511955 | NPI | - | NPPES |
| 263855000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME71109 (Florida) | Primary |
| Provider Name | Debra E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376676841 PECOS PAC ID: 1951383736 Enrollment ID: I20040604000464 |
| Provider Name | Kirti Bhargava Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598866618 PECOS PAC ID: 1254237183 Enrollment ID: I20110222000356 |
| Provider Name | Pauline Gladys Perry Ashton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356745145 PECOS PAC ID: 0547582587 Enrollment ID: I20141203000336 |
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