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Individual

DR. NERIA H HEBBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5347 MAIN STREET, SUITE 303, NEW PORT RICHEY, FL 34652-2533
(727) 845-1662
(727) 841-7579
Mailing address
5347 MAIN STREET, SUITE 303, NEW PORT RICHEY, FL 34652-2533
(727) 845-1662
(727) 841-7579

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME40554
FL
208C00000X
Colon & Rectal Surgery Physician
ME40554
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06271
UNIVERSAL PROVIDER NUMBER
01
205085
AVMED PROVIDER NUMBER
01
232066
WELLCARE PROVIDER NUMBER
05
264853900
FL
01
280000068
RAILROAD MEDICARE PTAN
01
4113066
AETNA PROVIDER NUMBER
01
51180
BLUE SHIELD PROVIDER NUM
FL
Enumeration date
10/12/2006
Last updated
08/05/2010
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