Bakerywala, Rubina Y
Bakerywala, Rubina Y is an individual health care provider with primary practice located at 807 Childrens Way Provider Enrollment Department, Jacksonville FL 32207-8426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Bakerywala, Rubina Y can be contacted via phone (302) 697-3694.Contact Information
Primary practice address
807 Childrens Way Provider Enrollment Department
Jacksonville FL 32207-8426
Phone: (302) 697-3694
Fax: (302) 651-4945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 245248 | New York |
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ME109578 | Florida |
Profile Details
NPI number | 1861682940 |
---|---|
LBN Legal business name | Bakerywala, Rubina Y |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2007 |
Last updated | Jun 4th, 2024 - about last year |
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 | 1861682940 | NPPES |
Florida | MEDICAID | 003504400 |
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