Individual
RAM JEEVAN BISHNOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 E FLETCHER AVE, TAMPA, FL 33613-4706
(813) 821-8038
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
BP20045231
TX
2084P0800X
Psychiatry Physician
Primary
ME158733
FL
2084P0805X
Geriatric Psychiatry Physician
076299
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003178909
—
GA
01
—
076299
MEDICAL LICENSE
GA
05
—
115743400
—
FL
01
—
ASYHN
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/08/2011
Last updated
11/02/2022
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