Bisht, Ajay Harendra

Bisht, Ajay Harendra is an individual health care provider with primary practice located at 18550 Us Highway 441 Ste A, Mount Dora FL 32757-6751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bisht, Ajay Harendra can be contacted via phone (352) 735-3755.

Contact Information

Primary practice address
18550 Us Highway 441 Ste A Mount Dora FL 32757-6751
Phone: (352) 735-3755
Fax: (352) 735-3151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME98575 Florida

Profile Details

NPI number 1629279344
LBN Legal business name Bisht, Ajay Harendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jan 11th, 2018 - about 8 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 1629279344 NPPES
Florida MEDICAID 278772500

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