Malabar Family Practice

LBN: Buddha P.A
Malabar Family Practice is an health care organization with primary practice located at 1731 Banaghen Dr , Melbourne FL 32940-6012. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Buddha P.A can be contacted via phone (614) 404-0972, or through Buddha, Chaithanya Deepthi via phone (614) 404-0972.

Contact Information

Primary practice address
1731 Banaghen Dr Melbourne FL 32940-6012
Phone: (614) 404-0972
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buddha, Chaithanya Deepthi Doctor of Medicine (MD)
Phone: (614) 404-0972

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1144842246
LBN Legal business name Buddha P.A
DBA Doing business as Malabar Family Practice
Authorized official Buddha, Chaithanya Deepthi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2020
Last updated Jul 9th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144842246 NPPES
Florida Other 14Y3K FLORIDA BLUE CROSS BLUE SHIELD

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