Raj, Balebail Ashok

Raj, Balebail Ashok is an individual health care provider with primary practice located at 4001 E Fletcher Ave , Tampa FL 33613-4808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Raj, Balebail Ashok can be contacted via phone (813) 866-1611.

Contact Information

Primary practice address
4001 E Fletcher Ave Tampa FL 33613-4808
Phone: (813) 866-1611
Fax: (813) 866-1612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X ME 31300 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME31300 Florida

Profile Details

NPI number 1841330552
LBN Legal business name Raj, Balebail Ashok
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Sep 15th, 2009 - about 15 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 1841330552 NPPES
Florida MEDICAID 038863700

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