Provider Demographics
NPI:1285614610
Name:PIPALIA, TULSIBHAI (MD)
Entity type:Individual
Prefix:
First Name:TULSIBHAI
Middle Name:
Last Name:PIPALIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 W CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5108
Mailing Address - Country:US
Mailing Address - Phone:813-875-3444
Mailing Address - Fax:813-878-2110
Practice Address - Street 1:3102 W CYPRESS ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5108
Practice Address - Country:US
Practice Address - Phone:813-875-3444
Practice Address - Fax:813-878-2110
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048281100Medicaid
FLD54175Medicare UPIN
FL30927XMedicare ID - Type Unspecified