Individual
SHYAM BHOJRAJ PARYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2161 KINGSLEY AVE, ORANGE PARK, FL 32073-5116
(904) 276-2303
(904) 276-9690
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME39857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000274414A
—
GA
05
—
043712300
—
FL
01
—
1115828
CARE PLUS
FL
01
—
1119090
WELLCARE
FL
01
—
1193431
WELLCARE
FL
01
—
15752
BCBS
FL
01
—
1733767
CIGNA
FL
01
—
209686
AVMED
FL
01
—
4045046
AETNA
FL
01
—
P00201839
MEDICARE RAILROAD
FL
01
—
P01451917
RR MEDICARE
FL
01
—
P01596530
RR MEDICARE
FL
01
—
P01782052
RR MEDICARE
FL
Enumeration date
11/02/2005
Last updated
03/10/2017
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