| Bhairavi Devi LLC | |
|
151 E Minnehaha Ave Clermont FL 34711-3424 | |
| (407) 473-3822 | |
| Not Available |
| Full Name | Bhairavi Devi LLC |
|---|---|
| Speciality | Physician Assistant |
| Location | 151 E Minnehaha Ave, Clermont, Florida |
| Authorized Official Name and Position | Kajalben Patel (OWNER) |
| Authorized Official Contact | 4074733822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhairavi Devi LLC 1414 Lakemist Ln Clermont FL 34711-5377 Ph: (407) 473-3822 | Bhairavi Devi LLC 151 E Minnehaha Ave Clermont FL 34711-3424 Ph: (407) 473-3822 |
| NPI Number | 1538966213 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Medicare PECOS PAC ID | 2264931070 |
|---|---|
| Medicare Enrollment ID | O20250819001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538966213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Primary |
| Provider Name | Anand R Mahadevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245238245 PECOS PAC ID: 7113914953 Enrollment ID: I20040810000929 |
| Provider Name | Kajalben a Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528303799 PECOS PAC ID: 4587921259 Enrollment ID: I20171205002106 |
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