Active NPI
Kayum Mohammadbhoy, M.D.,P.L.
- Obstetrics & Gynecology Physician
- Arcadia, FL
National Provider Identifier
1043512908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0019370
- Legal business name
- KAYUM MOHAMMADBHOY, M.D.,P.L.
- Practice address
- 250 N Brevard Ave
Arcadia, FL 34266-4406 - Phone
- (863) 993-5920
- Fax
- (863) 773-5056
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayum Mohammadbhoy, M.D.
- Title
- Owner/Provider
- Phone
- (863) 993-5056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0019370 | FL | Primary |
Addresses
Primary practice location
250 N Brevard Ave
Arcadia, FL 34266-4406
Mailing address
3114 SE Montgomery Cir
Arcadia, FL 34266-3127
Phone (863) 993-5920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050532300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290988800000",
"number": "1043512908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 SE MONTGOMERY CIR",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342663127",
"telephone_number": "863-993-5920",
"fax_number": "863-773-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N BREVARD AVE",
"city": "ARCADIA",
"state": "FL",
"postal_code": "342664406",
"telephone_number": "863-993-5920",
"fax_number": "863-773-5056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAYUM MOHAMMADBHOY, M.D.,P.L.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A",
"authorized_official_last_name": "MOHAMMADBHOY",
"authorized_official_first_name": "KAYUM",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "863-993-5056",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0019370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050532300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.