MEDICARE: RUSHABH VAKHARIA M.D.

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	207R00000X	Internal Medicine Physician	ME128690	FL
2	208M00000X	Hospitalist Physician	128690	FL
3	390200000X	Student in an Organized Health Care Education/Training Program	V02216807408862	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568801777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUSHABH VAKHARIA M.D.

Provider Business Mailing Address
First Line	:	203 N MARION ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4914
Country	:	US
Telephone Number	:	134-749-8048
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 N MARION ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-4914
Country	:	US
Telephone Number	:	134-749-8048
Fax Number	:

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

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	02/19/2025

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