KETAN RAMAKANT JHUNJHUNWALA M.D. NPI 1013460708

NPI Information

NPI: 1013460708
Provider Name: KETAN RAMAKANT JHUNJHUNWALA, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
17 DAVIS BLVD STE 308
TAMPA, FL
ZIP 33606
Phone: (813) 974-2201
Get Directions

Ketan Ramakant Jhunjhunwala, M.D. is a neurology psychiatry neurology in Tampa, FL with 13 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Ketan Ramakant Jhunjhunwala, M.D. NPI is 1013460708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17 DAVIS BLVD STE 308
TAMPA, FL
ZIP 33606-438
Phone: (813) 974-2201

The NPI 1013460708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2016 and was last updated on 6/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	39939	SOUTH CAROLINA	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	LL39939	SOUTH CAROLINA	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	39939	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	399394	MEDICAID	SOUTH CAROLINA
2	SCK3085019	OTHER	SOUTH CAROLINA	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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