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NPI Code Detail

MEDICARE: KAMAL KUMAR CHAVDA MD

MEDICARE:   KAMAL KUMAR CHAVDA  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
1208000000XPediatrics PhysicianME123048FL
22080P0204XPediatric Emergency Medicine (Pediatrics) PhysicianME123048FL
3207PP0204XPediatric Emergency Medicine (Emergency Medicine) PhysicianME123048FL

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 : 1508803073
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMAL KUMAR CHAVDA MD
Provider Business Mailing Address
First Line : 10140 CENTURION PKWY N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0532
Country : US
Telephone Number : 904-697-4100
Fax Number : 904-697-5102
Provider Business Practice Location Address
First Line : 6535 NEMOURS PKWY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7884
Country : US
Telephone Number : 407-567-4000
Fax Number : 407-567-5924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 05/23/2024

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Directions to “ KAMAL KUMAR CHAVDA MD” Practice Location

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