| Endocrine, Osteoporosis & Thyroid Care Center | |
|
13801 Bruce B Downs Blvd Ste 201 Tampa FL 33613-3937 | |
| (813) 977-5557 | |
| (813) 972-9211 |
| Full Name | Endocrine, Osteoporosis & Thyroid Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 13801 Bruce B Downs Blvd Ste 201, Tampa, Florida |
| Authorized Official Name and Position | Sumesh Chandra (OWNER - PRESIDENT) |
| Authorized Official Contact | 8139775557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrine, Osteoporosis & Thyroid Care Center 13801 Bruce B Downs Blvd Ste 201 Tampa FL 33613-3937 Ph: (813) 977-5557 | Endocrine, Osteoporosis & Thyroid Care Center 13801 Bruce B Downs Blvd Ste 201 Tampa FL 33613-3937 Ph: (813) 977-5557 |
| NPI Number | 1053307488 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 7214913029 |
|---|---|
| Medicare Enrollment ID | O20040624000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053307488 | NPI | - | NPPES |
| 270620200 | Medicaid | FL | |
| 74830 | Other | FL | BCBS GROUP NUMBER |
| DB6684 | Other | FL | RR MCARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0034899 (Florida) | Primary |
| Provider Name | Eman Ghazi Nakshabendi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821055955 PECOS PAC ID: 7113956699 Enrollment ID: I20050804000901 |
| Provider Name | Sumesh Chandra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477547602 PECOS PAC ID: 0840276655 Enrollment ID: I20091203000576 |
| Provider Name | Ijeoma J Nwahiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932580826 PECOS PAC ID: 1951610237 Enrollment ID: I20151028000465 |
| Provider Name | Beejal A Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104065382 PECOS PAC ID: 5193870251 Enrollment ID: I20170804002502 |
| Provider Name | Asma Al-zougbi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679861405 PECOS PAC ID: 1951528637 Enrollment ID: I20210806002189 |
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