Adnan Mohammadbhoy DO PA
Organization Active NPI Surgery Physician · Crystal River, FL
NPI 1568763142 · NPPES record last updated Nov 12, 2010
Key facts
- NPI
- 1568763142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADNAN MOHAMMADBHOY DO PA
- Practice address
- 11535 West Emerald Oaks Dr
Crystal River, FL 34428-0000 - Phone
- (999) 999-9999
- NPI assigned
- Nov 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Adnan Mohammadbhoy, DO
- Title
- Owner
- Phone
- (999) 999-9999
Practitioners 1
-
Adnan Mohammadbhoy, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110103000166 | FL | Part B Supplier - Clinic/Group Practice | 5092903393 |
Receives reassigned benefits from 1 practitioner Practice locations: Crystal River, FL |
National Provider Directory
Locations
11535 W Emerald Oaks Dr
Crystal River, FL 34428
Phone (352) 794-6191
6196 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 794-6056
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJGBBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
11535 West Emerald Oaks Dr
Crystal River, FL 34428-0000
Mailing address
11535 West Emerald Oaks Dr
Crystal River, FL 34428-0000
Other providers in Crystal River, FL
- Accurate Pathology Services MD PL
- Ace Primary Care LLC
- Angela Acevedo
- Achievement Rehabilitation Through Therapeutic Intervention, Inc.
- Achievement Rehabilitation Through Therapeutic Intervention, Inc.
- Advance Care Inc
- Advanced Family Hearing Aid Center, LLC
- Advocate Home Health Care, Inc.
- Abdulrahman MHD Khaldoun Albabbili
- Teresa Aleman
All providers in Crystal River, FL · Surgery Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.