Healthcare Provider Details

I. General information

NPI: 1720076177
Provider Name (Legal Business Name): YUVRAJ K. KUMBKARNI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14014 N 46TH ST STE B
TAMPA FL
33613-4018
US

IV. Provider business mailing address

38135 MARKET SQ
ZEPHYRHILLS FL
33542-7505
US

V. Phone/Fax

Practice location:
  • Phone: 813-977-2020
  • Fax: 813-355-5010
Mailing address:
  • Phone: 813-528-4975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME95908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: