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General NPI Number Information
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NPI Number | 1285735373
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Entity Type | Organization
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Legal Business Name | MONICA K BEDI MD PA
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 3830 BEE RIDGE RD SUITE 200
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City | SARASOTA
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State | FL
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Zip | 34233-1105
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Country | US
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Telephone | 941-927-5178
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Fax | 941-921-6838
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Provider Business Mailing Address
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Address Line | PO BOX 850001
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City | ORLANDO
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State | FL
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Zip | 32885-0147
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Country | US
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Telephone | 941-927-5178
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Fax | 941-921-6838
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Authorized Official
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Title or Position | OWNER
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Name | DR. MONICA K BEDI
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Credential | M.D.
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Telephone | 941-927-5178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME79670
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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