| Ghizlane Bouzghar Bahij, MD | |
|
2700 University Square Dr, Tampa, FL 33612-5513 | |
| (813) 253-2721 | |
| Not Available |
| Full Name | Ghizlane Bouzghar Bahij |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2700 University Square Dr, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750649679 | NPI | - | NPPES |
| 103080700 | Medicaid | FL | |
| 6DFIK | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 139666 (Florida) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036146236 (Illinois) | Secondary |
| Entity Name | Womens Care Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghizlane Bouzghar Bahij, MD Po Box 917770, Orlando, FL 32891-0001 Ph: () - | Ghizlane Bouzghar Bahij, MD 2700 University Square Dr, Tampa, FL 33612-5513 Ph: (813) 253-2721 |
Mr. Niema Brandon Razavian, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 137-457-3658 Fax: 813-449-8618 | |
Joshua Vernon Wright, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4787 Fax: 813-449-6555 | |
Dr. Justin S. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2700 University Square Dr, Tampa, FL 33612 Phone: 813-253-2721 Fax: 813-254-4597 | |
Dr. Babu Zachariah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-7667 Fax: 813-978-5805 | |
Dr. Robert Joseph Novaco, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6001 Webb Rd, Tampa, FL 33615 Phone: 201-452-8794 | |
Dr. Elias H Salloum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 | |
Wei Lue Tong, MD Radiology Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-7365 Fax: 813-449-8618 |