Organization Active NPI

Kantilal N. Bhadja, MD

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1053702589
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48738 Issued in FL
Legal business name
KANTILAL N. BHADJA, MD
Practice address
4223 W. El Prado Blvd
Tampa, FL 33629
Phone
(813) 839-5253
Fax
(813) 839-2953
NPI assigned
Feb 5, 2015
Last updated
Feb 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
KANTILAL N. BHADJA, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Mr. Kantilal Bhadja, MD
Title
Physician/Owner
Phone
(813) 839-5253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 48738 FL Primary

Addresses

Primary practice location

4223 W. El Prado Blvd
Tampa, FL 33629

Mailing address

4223 W. El Prado Blvd
Tampa, FL 33629
Phone (813) 839-5253

National Provider Directory

National Provider Directory
Part of
Westgate Internal Medic

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1053702589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 W. EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-839-5253",
            "fax_number": "813-839-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 W. EL PRADO BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33629",
            "telephone_number": "813-839-5253",
            "fax_number": "813-839-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANTILAL N. BHADJA, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANTILAL N. BHADJA, MD",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "BHADJA",
        "authorized_official_first_name": "KANTILAL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-839-5253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "48738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.