MEDICARE: VINAY BHAMIDIPATI 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	207Q00000X	Family Medicine Physician	277330	MA
2	207Q00000X	Family Medicine Physician	ME139011	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME139011	OTHER	FL	FLORIDA MEDICAL LICENSE
2	277330	OTHER	MA	MASSACHUSETTS MEDICAL LICENSE

General Provider Information

NPI Number	:	1174919872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VINAY BHAMIDIPATI M.D.

Provider Business Mailing Address
First Line	:	215 SE 8TH AVE APT 720
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-3885
Country	:	US
Telephone Number	:	609-457-1076
Fax Number	:

Provider Business Practice Location Address
First Line	:	4900 W OAKLAND PARK BLVD STE 105
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-1555
Country	:	US
Telephone Number	:	954-945-3530
Fax Number	:

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

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	08/01/2023

Similar Medicare Providers

1891783080 — DR. FERNANDO E BAYRON VELEZ MD
Practice Location Address:

4900 W OAKLAND PARK BLVD STE 101
LAUDERDALE LAKES, FL
33313-1555

Practice Phone: 954-472-1322
Practice Fax: 954-370-3420

1518037365 — MARIANA SOLANGEL MD
Practice Location Address:

4900 W OAKLAND PARK BLVD STE 105
LAUDERDALE LAKES, FL
33313-1555

Practice Phone: 844-665-4827
Practice Fax:

1013589308 — STEWARD MEDICAL GROUP, INC.
Practice Location Address:

4900 W OAKLAND PARK BLVD STE 101
LAUDERDALE LAKES, FL
33313-1555

Practice Phone: 954-472-1322
Practice Fax:

1932872637 — BANYAN COMMUNITY HEALTH CENTER, INC.
Practice Location Address:

4900 W OAKLAND PARK BLVD STE 101
LAUDERDALE LAKES, FL
33313-1555

Practice Phone: 305-398-6100
Practice Fax:

1932815396 — GRETA WENDORF LMHC
Practice Location Address:

4900 W OAKLAND PARK BLVD STE 101
LAUDERDALE LAKES, FL
33313-1555

Practice Phone: 305-398-6100
Practice Fax: 305-774-3355

1457460685 — BRENDA BOSMAN
Practice Location Address:

1555 S FEDERAL HWY , BAY 12&13
FORT LAUDERDALE, FL
33316-2686

Practice Phone: 954-462-6005
Practice Fax:

Directions to “ VINAY BHAMIDIPATI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.