Internal Medicine of Tampa Bay

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE OF TAMPA BAY

Doing business as

Internal Medicine of Tampa Bay

Practice address

2835 W de Leon St Ste 102
Tampa, FL 33609-4130

Phone

(813) 336-5808

Fax

(813) 822-0040

NPI assigned

Jan 13, 2020

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manish Sobti

Title

Administrator

Phone

(727) 269-5618

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Internal Medicine of Tampa Bay Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Preeti Kallu, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1164615829
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1033759527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49106",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337439106",
            "telephone_number": "727-269-5618",
            "fax_number": "727-265-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 W DE LEON ST STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094130",
            "telephone_number": "813-336-5808",
            "fax_number": "813-822-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "SOBTI",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-269-5618"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004191800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine of Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• International House of Wisdom, PLLC (International House of Wisdom - Psychiatry)
• International Rehabilitative Sciences Inc. (RS Medical - FL)
• International Therapy Center
• Gabrielle Interrante

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.