| Bokhari Medical Consortium Inc | |
|
716 Seminole Blvd Largo FL 33770-3627 | |
| (844) 229-8671 | |
| Not Available |
| Full Name | Bokhari Medical Consortium Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 716 Seminole Blvd, Largo, Florida |
| Authorized Official Name and Position | Hassan Bokhari (MEDICAL DIRECTORY) |
| Authorized Official Contact | 8442298671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bokhari Medical Consortium Inc 716 Seminole Blvd Largo FL 33770-3627 Ph: (727) 238-3241 | Bokhari Medical Consortium Inc 716 Seminole Blvd Largo FL 33770-3627 Ph: (844) 229-8671 |
| NPI Number | 1982314241 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 1254701063 |
|---|---|
| Medicare Enrollment ID | O20230111002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982314241 | NPI | - | NPPES |
| Provider Name | Usama Sabzwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811055684 PECOS PAC ID: 3072515584 Enrollment ID: I20070213000570 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
| Provider Name | Salman M Muddassir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578608220 PECOS PAC ID: 2567538358 Enrollment ID: I20150423000151 |
| Provider Name | Hassan Ayaz Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811158082 PECOS PAC ID: 2062653462 Enrollment ID: I20150721002094 |
| Provider Name | Zainab Savard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003565003 PECOS PAC ID: 4789070269 Enrollment ID: I20220410000062 |
| Provider Name | Michelle Glidden Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164291811 PECOS PAC ID: 2062863871 Enrollment ID: I20240105002178 |
| Provider Name | Lorrina L Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033998414 PECOS PAC ID: 0840639175 Enrollment ID: I20240418002735 |
| Provider Name | Damaris Perez Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013748557 PECOS PAC ID: 4789110313 Enrollment ID: I20241206000405 |
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