Provider Demographics
NPI:1518115617
Name:DIABETES & HORMONAL DISEASES CENTER PLC
Entity Type:Organization
Organization Name:DIABETES & HORMONAL DISEASES CENTER PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YUVRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMBKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-977-2020
Mailing Address - Street 1:3010 E 138TH AVENUE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613
Mailing Address - Country:US
Mailing Address - Phone:813-977-1414
Mailing Address - Fax:813-971-2311
Practice Address - Street 1:3010 E 138TH AVENUE
Practice Address - Street 2:SUITE 10
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613
Practice Address - Country:US
Practice Address - Phone:813-977-1414
Practice Address - Fax:813-971-2311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95908174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279562100Medicaid
FLH01281OtherUPIN