Individual
RAHUL R. BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(727) 532-0002
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME121197
FL
208M00000X
Hospitalist Physician
Primary
ME121197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014249100
—
FL
01
—
14Z17
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/29/2011
Last updated
03/02/2026
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