Individual
GHIZLANE BOUZGHAR BAHIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2700 UNIVERSITY SQUARE DR, TAMPA, FL 33612-5513
(813) 253-2721
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036146236
IL
2085R0202X
Diagnostic Radiology Physician
Primary
139666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103080700
—
FL
01
—
6DFIK
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/28/2012
Last updated
04/01/2021
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