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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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2174400000XSpecialist
3261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1982314241
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 : 727-238-3241
Fax Number : 727-238-8402
Provider Business Practice Location Address
First Line : 716 SEMINOLE BLVD
Second Line :
City : LARGO
State : FL
Zip : 33770-3627
Country : US
Telephone Number : 844-229-8671
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTORY
Name : HASSAN BOKHARI
Credential : MD
Telephone Number : 844-229-8671
Provider Enumeration Date : 11/28/2022
Last Update Date : 11/09/2023

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Directions to “BOKHARI MEDICAL CONSORTIUM INC ” Practice Location

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