Poudel, Pushpa Raj
Poudel, Pushpa Raj is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-2346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Poudel, Pushpa Raj can be contacted via phone (352) 265-5911.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-2346
Phone: (352) 265-5911
Fax: (352) 265-5606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME125134 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME125134 | Florida |
Profile Details
| NPI number | 1306158035 |
|---|---|
| LBN Legal business name | Poudel, Pushpa Raj |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2010 |
| Last updated | May 6th, 2024 - about last year |
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 | 1306158035 | NPPES |
| Florida | Other | 0L8A0 | FLORIDA BLUE |
| Florida | MEDICAID | 015781700 | FLORIDA BLUE |
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