Individual
DR. SHREEKANT K. TRIPATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 E GARDEN ST, LAKELAND, FL 33805-4616
(863) 688-0536
(863) 688-0639
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME42352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326183815
NPI
FL
01
—
53671
BCBS NUMBER
FL
Enumeration date
02/21/2007
Last updated
07/29/2015
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