Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 49149 | KY |
N | 111NI0900X | Internist | 49149 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 49149 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 49149 | KY |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME145175 | FL |
NPI | 1376634311 |
---|---|
Provider Name | Dr. Meenakshi Awasthi Bhalla |
First Address | Clearwater, FL 33759-3012 |
Second Address | Tampa, FL 33607-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107106800 | (05) | FL |