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:
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Health care specialties

SpecialtyCodeLicense #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 3 months 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 1861682940 NPPES
Florida MEDICAID 003504400

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