Provider Demographics
NPI:1346276631
Name:AMARCHAND, LINGAPPA (MD)
Entity Type:Individual
Prefix:
First Name:LINGAPPA
Middle Name:
Last Name:AMARCHAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14690 SPRING HILL DR
Mailing Address - Street 2:STE 305
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:750 DESOTO AVE
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34601-2814
Practice Address - Country:US
Practice Address - Phone:352-796-6721
Practice Address - Fax:352-754-0375
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0068472207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL201219OtherAV MED
FL4601367OtherAETNA
FL1551519OtherGHI
FL171356OtherSTAYWELL/WELLCARE
FL1397111OtherFIRST HEALTH
FL23532OtherBLUE CROSS & BLUE SHIELD
FL374162190Medicaid
FLP00013909OtherRAIL ROAD MEDICARE
FLP 12008396OtherMULTIPLAN
FLP 12008396OtherMULTIPLAN
FL23532UMedicare PIN
FL23532OtherBLUE CROSS & BLUE SHIELD
FL1551519OtherGHI