Basic Information
Provider Information
NPI: 1487223467
EntityType: 2
ReplacementNPI:  
OrganizationName: BEST VALUE HEALTHCARE
LastName:  
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Credential:  
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Mailing Information
Address1: 407 SAINT ANDREWS DR
Address2:  
City: BELLEAIR
State: FL
PostalCode: 337561935
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2209 NORTH BLVD W
Address2:  
City: DAVENPORT
State: FL
PostalCode: 338378903
CountryCode: US
TelephoneNumber: 8636798000
FaxNumber: 8636792694
Other Information
ProviderEnumerationDate: 06/23/2021
LastUpdateDate: 06/23/2021
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: NAIK
AuthorizedOfficialFirstName: RAJANKUMAR
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5614719484
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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