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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1083684153 NPPES
Florida MEDICAID 277550600
Florida MEDICAID 4596992-10

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