Manjul Derasari M.D.,P.A. in Tampa - Specialist
Manjul Derasari M.D.,P.A. - NPI 1407915929
Manjul Derasari M.D.,P.A. is a Specialist in Tampa, Florida. Manjul Derasari M.D.,P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Manjul Derasari M.D.,P.A. is 1407915929. The last update date is 2013-12-19.
Manjul Derasari M.D.,P.A.'s current location address is 1912 E Busch Blvd, Tampa, Florida. You can contact this provider via phone number 8139335900 and fax number 8139359687. The mailing address for Manjul Derasari M.D.,P.A. is 1912 E Busch Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Manjul Derasari M.D.,P.A. |
|---|---|
| Address | 1912 E Busch Blvd, Tampa, Florida |
| Phone Number | 8139335900 |
| Fax Number | 8139359687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Derasari D Manjul |
| Credentials | M.D. |
| Telephone Number | 8139335900 |
NPI Number Detail
| NPI Number | 1407915929 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2013-12-19 |
Provider Mailing Address Detail
| Address | 1912 E Busch Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336128666 |
| Phone Number | 8139335900 |
| Fax Number | 8139359687 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME54111 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2720607 | FL | AETNA | |
| 11609 | FL | BC BS | |
| 64751900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Manjul Derasari M.D.,P.A.?
The Manjul Derasari M.D.,P.A. has been issued the NPI (National Provider Identifier) 1407915929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Manjul Derasari M.D.,P.A.'s facilities are geographically located?
The facilities of Manjul Derasari M.D.,P.A. are physically situated at the following location: 1912 E Busch Blvd, Tampa, FL, 336128666.
What is Manjul Derasari M.D.,P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manjul Derasari M.D.,P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the Manjul Derasari M.D.,P.A. receive its 1407915929?
The Manjul Derasari M.D.,P.A. was issued its 1407915929 on 2006-12-08, which is the date when the organization was assigned this unique identifier.
When was the information regarding Manjul Derasari M.D.,P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Manjul Derasari M.D.,P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-12-19.