MEDICARE: DR. BHASKAR S ARYA 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	2084P0800X	Psychiatry Physician	ME69425	FL

General Provider Information

NPI Number	:	1194915090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHASKAR S ARYA MD

Provider Business Mailing Address
First Line	:	859 NAPOLI LN
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-6525
Country	:	US
Telephone Number	:	941-916-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2212 E HENRY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-4433
Country	:	US
Telephone Number	:	813-272-3227
Fax Number	:

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	12/12/2007

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