Provider Demographics
NPI:1508896945
Name:BHAMIDIPATI, SAVITHRI (MD)
Entity Type:Individual
Prefix:
First Name:SAVITHRI
Middle Name:
Last Name:BHAMIDIPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 CORDOBA RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33559-3961
Mailing Address - Country:US
Mailing Address - Phone:609-457-0528
Mailing Address - Fax:
Practice Address - Street 1:13000 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4745
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME143055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8118449008OtherCIGNA HMO
NJ1128040OtherFIRST HEALTH
NJ4317715OtherAETNA US HEALTH CARE PPO
NJ439163OtherGREAT WEST
NJ0227853001OtherAMERIHEALTH
NJP2778188OtherOXFORD
NJ2K7909OtherHEALTHNET
NJ83468OtherAMERIGROUP
NJ406478OtherAETNA US HEALTH CARE
NJ60013380OtherHORIZON NJ HEALTH
NJ7219903Medicaid
NJ158763Medicare ID - Type UnspecifiedMEDICARE
NJ83468OtherAMERIGROUP
NJ8118449008OtherCIGNA HMO