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Individual

DR. SUMAN ASHOK BHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
613 W DR MARTIN LUTHER KING JR BLVD, SUITE 101, TAMPA, FL 33603-3400
(813) 237-1958
(813) 237-8147
Mailing address
613 W DR MARTIN LUTHER KING JR BLVD, SUITE 101, TAMPA, FL 33603-3400
(813) 237-1958
(813) 237-8147

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0049369
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045959300
FL
Enumeration date
07/04/2006
Last updated
12/19/2008
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