MEDICARE: ATUL KUMAR RATRA

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	207R00000X	Internal Medicine Physician	S5478	TX
2	207RG0100X	Gastroenterology Physician	ME173479	FL

General Provider Information

NPI Number	:	1205223351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ATUL KUMAR RATRA

Provider Business Mailing Address
First Line	:	5016 W CYPRESS ST STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3809
Country	:	US
Telephone Number	:	813-710-5876
Fax Number	:

Provider Business Practice Location Address
First Line	:	5016 W CYPRESS ST STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-3809
Country	:	US
Telephone Number	:	813-710-5876
Fax Number	:

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

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	12/20/2025

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Directions to “ ATUL KUMAR RATRA ” Practice Location

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