Badarinath, Suprith

Badarinath, Suprith is an individual health care provider with primary practice located at 2 Shircliff Way Ste 800, Jacksonville FL 32204-4751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Badarinath, Suprith can be contacted via phone (904) 388-2619.

Contact Information

Primary practice address
2 Shircliff Way Ste 800 Jacksonville FL 32204-4751
Fax: (904) 388-0240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 80727 Florida

Profile Details

NPI number 1972508356
LBN Legal business name Badarinath, Suprith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972508356 NPPES
Florida Other 35709 BCBS
Florida MEDICAID 664397753B BCBS
Florida Other 272016 BCBS
Florida MEDICAID 258495600 BCBS
Florida Other 7233148 BCBS

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