Kc, Birendra
Kc, Birendra is an individual health care provider with primary practice located at 9 San Bartola Dr , St Augustine FL 32086-5767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kc, Birendra can be contacted via phone (904) 825-4500.Contact Information
Primary practice address
9 San Bartola Dr
St Augustine FL 32086-5767
Phone: (904) 825-4500
Fax: (904) 825-3672
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2016-00813 | North Carolina |
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME140216 | Florida |
Profile Details
NPI number | 1922207547 |
---|---|
LBN Legal business name | Kc, Birendra |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2007 |
Last updated | Oct 29th, 2019 - about 5 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 | 1922207547 | NPPES |
Florida | Other | IVC4K | FL BLUE |
Florida | MEDICAID | 102868600 | FL BLUE |
Florida | Other | LH202 | FL BLUE |
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