Aksharbrahma PA

Organization Active NPI Pediatric Cardiology Physician · Jacksonville, FL

NPI 1851856975 · NPPES record last updated Dec 31, 2019

Key facts

NPI
1851856975
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Cardiology Physician 2080P0202X
Legal business name
AKSHARBRAHMA PA
Practice address
6100 Greenland Rd Ste 301
Jacksonville, FL 32258-2626
Phone
(904) 257-6264
Fax
(904) 293-1326
NPI assigned
Feb 2, 2019
Organization subpart
No

Authorized official

Name
Ashish Patel, MD, FAAP
Title
President
Phone
(904) 257-6264

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

6100 Greenland Rd
Ste 301
Jacksonville, FL 32258
Phone (904) 257-6264

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X
Pediatric Cardiology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
2080P0202X Yes

Addresses

Primary practice location

6100 Greenland Rd Ste 301
Jacksonville, FL 32258-2626

Mailing address

6100 Greenland Rd Ste 301
Jacksonville, FL 32258-2626
Phone (904) 257-6264

Other identifiers

IdentifierTypeStateIssuer
102515700MedicaidFL
102213100MedicaidFL

Other names

  • Children & Fetal Heart Institute of America Doing business as

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Pediatric Cardiology Physician in Florida

Sources for this page

Verify at the official NPI Registry.