Healthcare Provider Details

I. General information

NPI: 1669014171
Provider Name (Legal Business Name): NEWGEN HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 59TH ST W STE C
BRADENTON FL
34209-7021
US

IV. Provider business mailing address

2902 59TH ST W STE C
BRADENTON FL
34209-7021
US

V. Phone/Fax

Practice location:
  • Phone: 941-877-7000
  • Fax: 941-444-4156
Mailing address:
  • Phone: 941-444-4170
  • Fax: 941-444-4156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AZIM AKBARALI LALANI
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 941-444-4170