1730375239 NPI number — ALL AMERICANS INTERNISTS PA

Table of content: (NPI 1730375239)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730375239 NPI number — ALL AMERICANS INTERNISTS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL AMERICANS INTERNISTS PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730375239
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7593 ARALIA WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LARGO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33777-4910
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-420-6568
Provider Business Mailing Address Fax Number:
727-289-6774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7593 ARALIA WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33777-4910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-420-6568
Provider Business Practice Location Address Fax Number:
727-289-6774
Provider Enumeration Date:
09/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DESAI
Authorized Official First Name:
SUKETU
Authorized Official Middle Name:
K
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
727-420-6568

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME68010 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 686349 . This is a "TUFTS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 240028 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 378756700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1103650 . This is a "AMERIGROUP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 74536 . This is a "BC/BS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: CH2464 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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