Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME68156 | FL |
NPI | 1043282569 |
---|---|
Provider Name | Dr. Tejinder S Glamour |
First Address | Clearwater, FL 33762-5323 |
Second Address | Pinellas Park, FL 33781-5025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06252 | UNIVERSAL (01) | FL |
100011830 | RAILROAD MEDICARE (01) | |
2256218 | AETNA HMO (01) | |
26488 | STAYWELL (01) | |
26488 | WELLCARE (01) | |
26787 | BC/BS (01) | |
268039400 | CITRUS (01) | |
335878 | MEDIGAP (01) | |
377868100 | (05) | FL |
5778089 | AETNA PPO (01) | |
5797313 | GHI (01) | |
870239 | CCN (01) | |
F13550 | (02) |