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Individual

DR. PARESH MAHAJAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2700 UNIVERSITY SQUARE DR, TAMPA, FL 33612-5513
(813) 253-2721
(813) 977-3720
Mailing address
2700 UNIVERSITY SQUARE DR, TAMPA, FL 33612-5513
(813) 253-2721
(813) 977-3720

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301071798
MI
2085R0202X
Diagnostic Radiology Physician
Primary
ME133440
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28144300
FL
01
300F36238
BCBSM
MI
05
4585738
MI
Enumeration date
06/30/2006
Last updated
07/21/2022
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