Provider Demographics
NPI:1851380265
Name:KAMAT, SHRINATH SHESHGIRI (MD PA)
Entity Type:Individual
Prefix:
First Name:SHRINATH
Middle Name:SHESHGIRI
Last Name:KAMAT
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 W WATERS AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1855
Mailing Address - Country:US
Mailing Address - Phone:813-931-9294
Mailing Address - Fax:813-936-0053
Practice Address - Street 1:2908 W WATERS AVE
Practice Address - Street 2:STE 102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1855
Practice Address - Country:US
Practice Address - Phone:813-931-9294
Practice Address - Fax:813-936-0053
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00566252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
101860OtherAVMED
FL063407700Medicaid
10310OtherBLUE CROSS
FL063407700Medicaid
E49329Medicare UPIN