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MANJUL DERASARI M.D.,P.A.
NPI 1407915929
Specialist in Tampa, FL

Active since December 08, 2006
1912 E BUSCH BLVD, TAMPA, FL 33612(813) 933-5900(813) 935-9687 Get Directions Write a Review

NPPES record last updated: December 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manjul Derasari M.d.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANJUL DERASARI M.D.,P.A. (NPI 1407915929) is a healthcare organization registered as a specialist in Tampa, Florida and active in the NPI registry since December 2006. The organization lists Manjul D Derasari, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407915929
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANJUL DERASARI M.D.,P.A.
Location Address1912 E BUSCH BLVDTampa, FL 33612-8666
Mailing Address1912 E Busch BlvdTampa, FL 33612-8666 · (813) 933-5900 · Fax (813) 935-9687
Phone(813) 933-5900
Fax(813) 935-9687
Organization SubpartNo
Authorized OfficialManjul D DerasariMedical Director · (813) 933-5900
Enumeration DateDecember 8, 2006
Last NPPES UpdateDecember 19, 2013
✔ NPI 1407915929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME54111
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1912 E BUSCH BLVD, Tampa, FL 33612
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Other Identifiers 7

Medicare ID-Type Unspecified050088184FL · Medicare Railroad
Other2720607FL · Aetna
Medicaid064751900FL
Other11609FL · Bc Bs
Medicare UPINE68773FL
Medicare ID-Type Unspecified11609SFL · Medicare Individual
Medicare ID-Type UnspecifiedK3314FL · Medicare Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manjul Derasari M.D.,p.A.'s NPI number?

The NPI number for Manjul Derasari M.D.,p.A. is 1407915929. It was assigned to this organization in the NPPES registry on December 8, 2006.

Where is Manjul Derasari M.D.,p.A. located?

Manjul Derasari M.D.,p.A. is located at 1912 E Busch Blvd, Tampa, FL 33612. The listed phone number is (813) 933-5900.

What is Manjul Derasari M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Manjul Derasari M.D.,p.A. was last updated on December 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.