MEDICARE: KAMLESH N BAJPAI DO

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	OS13379	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1518018878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMLESH N BAJPAI DO

Provider Business Mailing Address
First Line	:	PO BOX 232
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33526-0232
Country	:	US
Telephone Number	:	352-518-2000
Fax Number	:	352-567-0218

Provider Business Practice Location Address
First Line	:	2114 SEVEN SPRINGS BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3908
Country	:	US
Telephone Number	:	352-518-2000
Fax Number	:	352-567-0218

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	06/05/2015

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