| Bay Regional & Intl Inst. Of Neurology, Inc | |
|
2508 W. Saint Isabel Street Suite A Tampa FL 33607-6380 | |
| (813) 876-3783 | |
| (813) 876-2525 |
| Full Name | Bay Regional & Intl Inst. Of Neurology, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2508 W. Saint Isabel Street, Tampa, Florida |
| Authorized Official Name and Position | Radhakrishna K. Rao (PRESIDENT) |
| Authorized Official Contact | 8138763783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Regional & Intl Inst. Of Neurology, Inc 2508 W. Saint Isabel Street Suite A Tampa FL 33607-6380 Ph: (813) 876-3783 | Bay Regional & Intl Inst. Of Neurology, Inc 2508 W. Saint Isabel Street Suite A Tampa FL 33607-6380 Ph: (813) 876-3783 |
| NPI Number | 1215999446 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 10/07/2008 |
| Medicare PECOS PAC ID | 1052455219 |
|---|---|
| Medicare Enrollment ID | O20100225000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215999446 | NPI | - | NPPES |
| 375370100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Radhakrisha K Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326264177 PECOS PAC ID: 2264576420 Enrollment ID: I20100225000765 |
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