MEDICARE: ASHIT K VIJAPURA MD PA

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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09843	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154517068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHIT K VIJAPURA MD PA

Provider Business Mailing Address
First Line	:	802 W DR MARTIN LUTHER KING JR BLVD STE D
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-5105
Country	:	US
Telephone Number	:	813-754-1496
Fax Number	:	813-754-2553

Provider Business Practice Location Address
First Line	:	802 W DR MARTIN LUTHER KING JR BLVD STE D
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-5105
Country	:	US
Telephone Number	:	813-754-1496
Fax Number	:	813-754-2553

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHIT K VIJAPURA
Credential	:	MD
Telephone Number	:	813-754-1496

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	12/27/2023

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Directions to “ASHIT K VIJAPURA MD PA ” Practice Location

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