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Individual

DR. BHARAT PANCHOLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13000 BRUCE B DOWNS BLVD # 112, JAMES A HALEY TAMPA VA, TAMPA, FL 33612-4745
(813) 972-2000
(813) 910-4036
Mailing address
13000 BRUCE B DOWNS BLVD, (112), TAMPA, FL 33612-4745
(813) 972-2000
(813) 910-4036

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A104641
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A104641
CA

Other

Enumeration date
07/11/2007
Last updated
12/22/2021
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