Individual
DR. VAIBHAV CHUMBALKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME152127
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.150753
IL
390200000X
Student in an Organized Health Care Education/Training Program
63673
NY
Other
Enumeration date
05/21/2015
Last updated
09/02/2021
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