Provider Demographics
NPI:1710994595
Name:APTE, MANOHAR NARAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MANOHAR
Middle Name:NARAYAN
Last Name:APTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:N
Other - Last Name:APTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:17215 BROADOAK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2793
Mailing Address - Country:US
Mailing Address - Phone:813-972-9161
Mailing Address - Fax:
Practice Address - Street 1:17215 BROADOAK DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2793
Practice Address - Country:US
Practice Address - Phone:813-972-9161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A14793Medicare UPIN