Organization Active NPI

Kayum Mohammadbhoy, M.D.,P.L.

  • Obstetrics & Gynecology Physician
  • Arcadia, FL
National Provider Identifier
1043512908
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0019370 Issued in FL
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

Updated by the provider on Nov 29, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
050532300MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.