MEDICARE: GAURAV KATHURIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	ME161902	FL

General Provider Information

NPI Number	:	1346700739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAURAV KATHURIA MD

Provider Business Mailing Address
First Line	:	16350 BRUCE B DOWNS BLVD UNIT 46744
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3207
Country	:	US
Telephone Number	:
Fax Number	:	769-206-4796

Provider Business Practice Location Address
First Line	:	16350 BRUCE B DOWNS BLVD # 46744
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-3207
Country	:	US
Telephone Number	:	954-408-2081
Fax Number	:	769-206-4796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	03/17/2026

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