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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780644351 NPPES
Florida Other P00296457 RAILROAD MEDICARE
Florida MEDICAID 273935600 RAILROAD MEDICARE
Florida MEDICAID 018539900 RAILROAD MEDICARE

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