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
Phone: (904) 388-2619
Fax: (904) 388-0240
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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