Healthcare Provider Details

I. General information

NPI: 1972690337
Provider Name (Legal Business Name): ALPANA A GROVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 09/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10537 STATE ROAD 54
NEW PORT RICHEY FL
34655-2275
US

IV. Provider business mailing address

10537 STATE ROAD 54
NEW PORT RICHEY FL
34655-2275
US

V. Phone/Fax

Practice location:
  • Phone: 727-376-8404
  • Fax: 727-376-8552
Mailing address:
  • Phone: 727-376-8404
  • Fax: 727-376-8552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME73609
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: