MEDICARE: DR. BHUMI MEHTA UPADHYAY M.D.

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	208000000X	Pediatrics Physician	ME80767	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093790925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHUMI MEHTA UPADHYAY M.D.

Provider Business Mailing Address
First Line	:	220 ATHENS WAY STE 240
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37228-1311
Country	:	US
Telephone Number	:	833-208-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 W DR MARTIN LUTHER KING JR BLVD STE 350
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6208
Country	:	US
Telephone Number	:	833-208-7770
Fax Number	:	833-450-0456

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

Provider Enumeration Date	:	12/14/2005
Last Update Date	:	11/21/2024

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