Poudel, Pushpa Raj

Poudel, Pushpa Raj is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-2346. 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. Poudel, Pushpa Raj can be contacted via phone (352) 265-5911.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-2346
Phone: (352) 265-5911
Fax: (352) 265-5606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME125134 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME125134 Florida

Profile Details

NPI number 1306158035
LBN Legal business name Poudel, Pushpa Raj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2010
Last updated May 6th, 2024 - about 2 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 1306158035 NPPES
Florida Other 0L8A0 FLORIDA BLUE
Florida MEDICAID 015781700 FLORIDA BLUE

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