| Kaizad P Tamboli, MD | |
|
2805 54th Ave N Ste 500, St Petersburg, FL 33714-2414 | |
| (305) 628-6117 | |
| (305) 393-5989 |
| Full Name | Kaizad P Tamboli |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 2805 54th Ave N Ste 500, St Petersburg, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881753986 | NPI | - | NPPES |
| 00121210 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12792 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | ME91603 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kare In Home Health Services | Gulfport, MS | Home health agency |
| Saads Home Nursing Of Ms | Diberville, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Exceed Physical Therapy, Llc | 8123378338 | 52 |
| Entity Name | Back & Neck Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427172303 PECOS PAC ID: 7214032739 Enrollment ID: O20070411000546 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaizad P Tamboli, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Kaizad P Tamboli, MD 2805 54th Ave N Ste 500, St Petersburg, FL 33714-2414 Ph: (305) 628-6117 |
Nandkishor Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710 Phone: 727-347-2780 Fax: 727-347-5508 | |
Francisco Jesus Rey, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709 Phone: 727-202-8140 Fax: 727-202-8252 | |
David A. Weiland Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 6th St S, St Petersburg, FL 33701 Phone: 727-823-1234 Fax: 727-893-6930 | |
Dr. Rakesh Mittal, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709 Phone: 727-527-0797 Fax: 727-528-7703 | |
Dr. Lilian Enyonam Ahiable, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7111 1st Ave S, St Petersburg, FL 33707 Phone: 727-300-2282 Fax: 727-321-2680 | |
Dr. Alia Celeste Sommerville, D.O., MSC. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709 Phone: 727-521-5057 Fax: 727-521-5022 | |
Kayla Marie Worthington, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 3520 38th Ave N, St Petersburg, FL 33713 Phone: 727-471-5039 Fax: 727-471-6446 |