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Individual
KANTILAL N. BHADJA
Active
Individual
KANTILAL N. BHADJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME48738
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04608
BLUE SHIELD ID
FL
05
—
047380400
—
FL
01
—
061105100
MEDIPASS ID#
FL
01
—
0622095
AETNA PROVIDER#
FL
01
—
083738
AVMED PROVIDER ID
FL
01
—
207373
WELLCARE PROVIDER ID
FL
01
—
401123811
CIGNA PROVIDER ID
FL
01
—
ME487378
FLORIDA MEDCIAL LICENSE #
FL
Enumeration date
05/19/2006
Last updated
08/12/2021
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