Baskar, Sujatha
Baskar, Sujatha is an individual health care provider with primary practice located at 1866 Mayo Dr , Tavares FL 32778-4320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Baskar, Sujatha can be contacted via phone (352) 508-5171.Contact Information
Primary practice address
1866 Mayo Dr
Tavares FL 32778-4320
Phone: (352) 508-5171
Fax: (352) 508-5275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME94000 | Florida |
Profile Details
| NPI number | 1699764910 |
|---|---|
| LBN Legal business name | Baskar, Sujatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | May 27th, 2015 - about 10 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 | 1699764910 | NPPES |
| Florida | MEDICAID | 27401500 |
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