Kc, Birendra

Kc, Birendra is an individual health care provider with primary practice located at 9 San Bartola Dr , St Augustine FL 32086-5767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kc, Birendra can be contacted via phone (904) 825-4500.

Contact Information

Primary practice address
9 San Bartola Dr St Augustine FL 32086-5767
Phone: (904) 825-4500
Fax: (904) 825-3672
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2016-00813 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME140216 Florida

Profile Details

NPI number 1922207547
LBN Legal business name Kc, Birendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Oct 29th, 2019 - about 6 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 1922207547 NPPES
Florida Other IVC4K FL BLUE
Florida MEDICAID 102868600 FL BLUE
Florida Other LH202 FL BLUE

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