| Dr Rajesh Kotak, MD | |
|
517 Eichenfeld Dr Ste 106, Brandon, FL 33511-5997 | |
| (800) 991-6117 | |
| (888) 812-8191 |
| Full Name | Dr Rajesh Kotak |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 517 Eichenfeld Dr Ste 106, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770721912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME113098 (Florida) | Primary |
| 202K00000X | Phlebology | ME113098 (Florida) | Secondary |
| Entity Name | Tarpon Springs Hospital Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760786727 PECOS PAC ID: 4587653969 Enrollment ID: O20040511000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rajesh Kotak, MD 3820 Northdale Blvd Ste 201, Ste 201,, Tampa, FL 33624-1893 Ph: (800) 991-6117 | Dr Rajesh Kotak, MD 517 Eichenfeld Dr Ste 106, Brandon, FL 33511-5997 Ph: (800) 991-6117 |
John Kimble Butterick, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 302 Bryan Rd, Suite 2, Brandon, FL 33511 Phone: 813-681-7512 Fax: 813-684-8974 |
Dr. In Soon Park, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-685-8802 |
Dr. Michael G Siegman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-685-8802 |
Dr. Darshan B Thakkar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 116 Parsons Park Dr, Brandon, FL 33511 Phone: 813-684-5255 |
Subhasis Misra, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 205 S Moon Ave Ste 102a, Brandon, FL 33511 Phone: 813-662-6200 Fax: 813-571-1688 |
Dr. Jeffrey Scott Mino, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-685-8802 |
Dr. Eric Edward Capriles, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 519 Medical Oaks Ave, Brandon, FL 33511 Phone: 813-685-7995 Fax: 813-643-8777 |