Provider Demographics
NPI:1053370437
Name:CHHEDA, HEMANT D (MD)
Entity type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:D
Last Name:CHHEDA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2700 UNIVERSITY SQUARE DRIVE
Mailing Address - Street 2:RADIOLOGY ASSOCIATES OF TAMPA
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5513
Mailing Address - Country:US
Mailing Address - Phone:813-251-5822
Mailing Address - Fax:813-254-4597
Practice Address - Street 1:2700 UNIVERSITY SQUARE DRIVE
Practice Address - Street 2:RADIOLOGY ASSOCIATES OF TAMPA
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5513
Practice Address - Country:US
Practice Address - Phone:813-251-5822
Practice Address - Fax:813-254-4597
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME58073207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL118722Medicaid
FL064599100Medicaid
AL118722Medicaid
FL300024416Medicare PIN
FL360004350Medicare PIN
FLE41229Medicare UPIN
FL11218Medicare PIN
FL300093672Medicare PIN
FL11218XMedicare PIN
FL300024412Medicare PIN
FL11218ZMedicare PIN