N/a | |
3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 | |
(813) 200-8857 | |
(813) 200-1319 |
Full Name | N/a |
---|---|
Speciality | Internal Medicine |
Location | 3225 S Macdill Ave Ste 129-313, Tampa, Florida |
Authorized Official Name and Position | Sajat Agarwal (OWNER) |
Authorized Official Contact | 8132008857 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
N/a 3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 Ph: (813) 200-8857 | N/a 3225 S Macdill Ave Ste 129-313 Tampa FL 33629-8171 Ph: (813) 200-8857 |
NPI Number | 1003555665 |
---|---|
Provider Enumeration Date | 06/01/2022 |
Last Update Date | 06/01/2022 |
Medicare PECOS PAC ID | 2668852898 |
---|---|
Medicare Enrollment ID | O20220706002638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003555665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sajat Agarwal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356565253 PECOS PAC ID: 6901957430 Enrollment ID: I20170724002595 |
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