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NPI Code Detail

MEDICARE: BOKHARI MEDICAL CONSORTIUM INC

MEDICARE: BOKHARI MEDICAL CONSORTIUM INC
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
12084P0800XPsychiatry Physician
2363LA2200XAdult Health Nurse Practitioner
3363LF0000XFamily Nurse Practitioner
4207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1356153316
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOKHARI MEDICAL CONSORTIUM INC
Provider Business Mailing Address
First Line : 716 SEMINOLE BLVD
Second Line :
City : LARGO
State : FL
Zip : 33770-3627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 716 SEMINOLE BLVD
Second Line :
City : LARGO
State : FL
Zip : 33770-3627
Country : US
Telephone Number : 727-238-3241
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HASSAN AYAZ BOKHARI
Credential :
Telephone Number : 727-238-3241
Provider Enumeration Date : 01/24/2025
Last Update Date : 01/24/2025

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Directions to “BOKHARI MEDICAL CONSORTIUM INC ” Practice Location

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