Gummadi, Bharat Kumar
Gummadi, Bharat Kumar is an individual health care provider with primary practice located at 14534 Old Saint Augustine Rd Ste 3420 , Jacksonville FL 32258-2616. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Gummadi, Bharat Kumar can be contacted via phone (904) 493-8001.Contact Information
Primary practice address
14534 Old Saint Augustine Rd Ste 3420
Jacksonville FL 32258-2616
Phone: (904) 493-8001
Fax: (904) 338-0852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME96186 | Florida |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | ME96186 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME96186 | Florida |
Profile Details
| NPI number | 1033141692 |
|---|---|
| LBN Legal business name | Gummadi, Bharat Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Mar 31st, 2020 - about 4 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 | 1033141692 | NPPES |
| Florida | Other | P01191148 | RAILROAD MEDICARE |
| Florida | MEDICAID | 2757036-00 | RAILROAD MEDICARE |
| Florida | MEDICAID | 003125740A | RAILROAD MEDICARE |
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