Rao, Kavita Bakthavatsalam
Rao, Kavita Bakthavatsalam is an individual health care provider with primary practice located at 4957 38Th Avenue North Suite C, Saint Petersburg FL 33710-2174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rao, Kavita Bakthavatsalam can be contacted via phone (727) 525-0900.Contact Information
Primary practice address
4957 38Th Avenue North Suite C
Saint Petersburg FL 33710-2174
Phone: (727) 525-0900
Fax: (727) 525-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301072100 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME89679 | Florida |
Profile Details
| NPI number | 1083684153 |
|---|---|
| LBN Legal business name | Rao, Kavita Bakthavatsalam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jan 20th, 2014 - about 10 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 | 1083684153 | NPPES |
| Florida | MEDICAID | 277550600 | |
| Florida | MEDICAID | 4596992-10 |
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