MEDICARE: DR. VIPUL V KABARIA 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
1	207R00000X	Internal Medicine Physician	ME66919	FL
2	208VP0000X	Pain Medicine Physician	ME66919	FL
3	208VP0014X	Interventional Pain Medicine Physician	ME66919	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	050058540	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28500	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	24981	OTHER	FL	WELLCARE
5	9640232	OTHER		GHI
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649373697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIPUL V KABARIA MD

Provider Business Mailing Address
First Line	:	PO BOX 272166
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33688-2166
Country	:	US
Telephone Number	:	727-823-2188
Fax Number	:	727-828-0723

Provider Business Practice Location Address
First Line	:	13910 N DALE MABRY HWY
Second Line	:	BLDG 4, STE 1
City	:	TAMPA
State	:	FL
Zip	:	33618-2440
Country	:	US
Telephone Number	:	813-963-2200
Fax Number	:	813-963-2700

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	03/17/2018

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Directions to “ DR. VIPUL V KABARIA MD” Practice Location

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