MEDICARE: DR. TEJINDER S GLAMOUR MD

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	207RI0008X	Hepatology Physician	ME68156	FL
2	207RG0100X	Gastroenterology Physician	ME68156	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	100011830	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06252	OTHER	FL	UNIVERSAL
2	5778089	OTHER		AETNA PPO
3	26488	OTHER		WELLCARE
5	26787	OTHER		BC/BS
6	335878	OTHER		MEDIGAP
7	5797313	OTHER		GHI
8	870239	OTHER		CCN
9	268039400	OTHER		CITRUS
10	26488	OTHER		STAYWELL
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	2256218	OTHER		AETNA HMO
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043282569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEJINDER S GLAMOUR MD

Provider Business Mailing Address
First Line	:	3001 EXECUTIVE DR STE 130
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33762-5323
Country	:	US
Telephone Number	:	727-347-0005
Fax Number	:	727-541-6558

Provider Business Practice Location Address
First Line	:	6225 66TH ST N
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-5025
Country	:	US
Telephone Number	:	727-521-0994
Fax Number	:	727-522-2671

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	05/12/2021

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Directions to “ DR. TEJINDER S GLAMOUR MD” Practice Location

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