MEDICARE: DR. CHANDRA BAPNA 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	ME0068445	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME0068445	OTHER	FL	STATE LIC
2	201223	OTHER	FL	AMERIGROUP
3	593351224	OTHER	FL	TAX ID
4	110150380	OTHER	FL	RR MCARE
5	246331	OTHER	FL	AVMED
6	1922008366	OTHER		NPPES
7	1114927027	OTHER		NPPES - CORPORATE
8	28453	OTHER	FL	BCBS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922008366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHANDRA BAPNA MD

Provider Business Mailing Address
First Line	:	5106 N ARMENIA AVE
Second Line	:	SUITE 4
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-931-2366
Fax Number	:	813-936-8886

Provider Business Practice Location Address
First Line	:	5106 N ARMENIA AVE
Second Line	:	SUITE 4
City	:	TAMPA
State	:	FL
Zip	:	33603-1433
Country	:	US
Telephone Number	:	813-931-2366
Fax Number	:	813-936-8886

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/05/2018

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Directions to “ DR. CHANDRA BAPNA MD” Practice Location

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