Choksi, Mamta Tarak
Choksi, Mamta Tarak is an individual health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Choksi, Mamta Tarak can be contacted via phone (727) 493-2513.Contact Information
Primary practice address
9320 State Road 54
Trinity FL 34655-1808
Phone: (727) 493-2513
Fax: (877) 917-2336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME91652 | Florida |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME91652 | Florida |
Profile Details
| NPI number | 1780644351 |
|---|---|
| LBN Legal business name | Choksi, Mamta Tarak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Apr 29th, 2022 - about 2 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 | 1780644351 | NPPES |
| Florida | Other | P00296457 | RAILROAD MEDICARE |
| Florida | MEDICAID | 273935600 | RAILROAD MEDICARE |
| Florida | MEDICAID | 018539900 | RAILROAD MEDICARE |
Popular Providers
-
Dandamudi, Uday
9320 State Road 54 , Trinity FL 34655-1808 -
Giudice, Richard O
4901 Lang Ave Ne , Albuquerque NM 87109-4397 -
Liu, Lin-Lin
21216 Northwest Fwy Suite 230, Cypress TX 77429-1439 -
Kulkarni, Gajanan A
9320 State Road 54 Florida Cancer Specialists P L, Trinity FL 34655-1808 -
Sporn, Jonathan
94 Woodland St , Hartford CT 06105-1217 -
Marshall, Natalie
3100 San Pablo Ave. Suite 430, Berkeley CA 94702 -
Wenk, David Thomas
9320 State Road 54 , Trinity FL 34655-1808 -
Haskins, Clark E
4901 Lang Avenue Ne , Albuquerque NM 87109-4397