Basic Information
Provider Information
NPI: 1790152015
EntityType: 2
ReplacementNPI:  
OrganizationName: BEST VALUE HEALTHCARE LLC
LastName:  
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Credential:  
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Mailing Information
Address1: PO BOX 25487
Address2:  
City: SARASOTA
State: FL
PostalCode: 342772487
CountryCode: US
TelephoneNumber: 9412160072
FaxNumber:  
Practice Location
Address1: 1100 S FORT HARRISON AVE
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337563908
CountryCode: US
TelephoneNumber: 7272233650
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/24/2015
LastUpdateDate: 09/01/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: NAIK
AuthorizedOfficialFirstName: RAJANKUMAR
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: MANAGER
AuthorizedOfficialTelephone: 7274555416
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate: 09/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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