Vijay Diwadkar,M.D.PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

ME39294 Issued in FL

Legal business name

VIJAY DIWADKAR,M.D.PA

Practice address

701 W M.L.King Jr. Blvd.
Suite 3
Tampa, FL 33603-3100

Phone

(813) 237-2500

Fax

(813) 237-2871

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Diwadkar, M.D.

Title

Medical Director

Phone

(813) 237-2500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1659672236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W M.L.KING BLVD",
            "address_2": "SUITE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031922",
            "telephone_number": "813-237-2500",
            "fax_number": "813-237-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W M.L.KING JR. BLVD.",
            "address_2": "SUITE 3",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033100",
            "telephone_number": "813-237-2500",
            "fax_number": "813-237-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY DIWADKAR,M.D.PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "DIWADKAR",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-237-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME39294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30476",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066699800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katia Vignati Serrano
• Joshua Evander Vignolles-Jeong
• Cossette Vigoa
• Maria Fernanda Viguri Gomez
• Vihas LLC (Vistara Pharmacy)
• Caitlin Vijayanagar, LMHC, LMFT
• Nirmala Devi Vikram, CRNA
• Alyssa Vila
• Hector Vila, MD
• Laura Vila, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.