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NPI Code Detail

MEDICARE: DR. JOHN MURAGE GACHIANI M.D.

MEDICARE: DR. JOHN MURAGE GACHIANI 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
1207T00000XNeurological Surgery PhysicianMD.200930LA
2207T00000XNeurological Surgery Physician40396IA
3208000000XPediatrics Physician40396IA
4207T00000XNeurological Surgery PhysicianME151776FL

General Provider Information

NPI Number : 1619167954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MURAGE GACHIANI M.D.
Provider Business Mailing Address
First Line : 4321 N MACDILL AVE STE 407
Second Line :
City : TAMPA
State : FL
Zip : 33607-6396
Country : US
Telephone Number : 813-554-8690
Fax Number : 813-605-6068
Provider Business Practice Location Address
First Line : 4321 N MACDILL AVE STE 407
Second Line :
City : TAMPA
State : FL
Zip : 33607-6396
Country : US
Telephone Number : 813-554-8690
Fax Number : 813-605-6068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2007
Last Update Date : 03/25/2022

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