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NPI Code Detail

MEDICARE: DR. DEVYANI D. GHANEKAR M. D.

MEDICARE: DR. DEVYANI D. GHANEKAR 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
12085R0202XDiagnostic Radiology PhysicianME142857FL

Other Identifiers

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

General Provider Information

NPI Number : 1205826542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVYANI D. GHANEKAR M. D.
Provider Business Mailing Address
First Line : 5626 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4020
Country : US
Telephone Number : 727-841-8212
Fax Number : 727-844-3092
Provider Business Practice Location Address
First Line : 5626 GULF DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34652-4020
Country : US
Telephone Number : 727-841-8212
Fax Number : 727-844-3092
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 07/07/2020

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