Bhambore, Mahesh

Bhambore, Mahesh is an sole proprietor health care provider with primary practice located at 21762 State Road 54 , Lutz FL 33549-6921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bhambore, Mahesh can be contacted via phone (813) 949-2999.

Contact Information

Primary practice address
21762 State Road 54 Lutz FL 33549-6921
Phone: (813) 949-2999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME100193 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME100193 Florida

Profile Details

NPI number 1336183573
LBN Legal business name Bhambore, Mahesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Nov 15th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336183573 NPPES
Florida Other P01173486 RR MEDICARE
Florida Other 62517 RR MEDICARE
Florida MEDICAID 281328900 RR MEDICARE

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