# BAY AREA INTERNIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689885527
- **Authorized official:** BHANUPRASAD PATEL (PRESIDENT)
- **Authorized official phone:** (727) 526-1775

## Contact information

- **Practice address:** 5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33703-1204
- **Practice address phone:** (727) 526-1775
- **Practice address fax:** (727) 526-5764
- **Mailing address:** 5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33703-1204
- **Mailing address phone:** (727) 526-1775
- **Mailing address fax:** (727) 526-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0088299 | FL | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 11/29/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 269999100 | — | FL |