Individual
DR. VIRAJ VINAYAK BHALANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12662 TELECOM DR, TEMPLE TERRACE, FL 33637-0935
(813) 910-8708
(855) 852-7153
Mailing address
3140 S FALKENBURG RD, SUITE 202, RIVERVIEW, FL 33578-2574
(813) 910-8708
(855) 852-7153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
268406
NY
207R00000X
Internal Medicine Physician
MD447055
PA
207RN0300X
Nephrology Physician
Primary
ME123975
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2009
Last updated
04/25/2017
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