| Organization Name: | BAY AREA INTERNIST INC |
| NPI Number: | 1689885527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BHANUPRASAD PATEL (PRESIDENT) |
| Mailing Address: | 5520 Dr Martin Luther King Jr St N Saint Petersburg |
| State: | FL US |
| Postal Code: | 337031204 |
| Phone Number: | 7275261775 |
| Fax Number: | 7275265764 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0088299 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |