MEDICARE: JAIDEEP HINGORANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	P 18943	MD
2	207RN0300X	Nephrology Physician	ME104667	FL

General Provider Information

NPI Number	:	1003023581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIDEEP HINGORANI

Provider Business Mailing Address
First Line	:	3300 TAMIAMI TRL
Second Line	:	#101A
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-8054
Country	:	US
Telephone Number	:	941-629-4676
Fax Number	:	941-629-1522

Provider Business Practice Location Address
First Line	:	3300 TAMIAMI TRL
Second Line	:	#101A
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33952-8054
Country	:	US
Telephone Number	:	941-629-4676
Fax Number	:	941-629-1522

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	11/18/2009

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Directions to “ JAIDEEP HINGORANI ” Practice Location

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