Healthcare Provider Details

I. General information

NPI: 1023193414
Provider Name (Legal Business Name): BHARTI KEDAR SHETYE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BHARTI MADAN ABICHANDANI M.D.

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WEBB RD STE 207
TAMPA FL
33615-2865
US

IV. Provider business mailing address

4453 LAVENDER DR
PALM HARBOR FL
34685-3676
US

V. Phone/Fax

Practice location:
  • Phone: 727-773-6186
  • Fax: 727-498-6418
Mailing address:
  • Phone: 727-773-6186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number23516
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME96556
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberME96556
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: