Kalyan K Bachu, MD
Internal Medicine in Longwood, FL. Individual provider (NPI-1).
NPI number1497916183
StatusActive
Last updated in NPPESNov 8, 2011
Details
- NPI
- 1497916183
- Entity type
- Individual (NPI-1)
- Name
- Kalyan K Bachu
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2008
- Last updated
- Nov 8, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | me107952 | FL | Yes |
| 207R00000X | Internal Medicine | 258972 | NY |
Practice location
2180 W State Road 434Suite 2110
Longwood, FL 32779-5041
Phone 347-853-4719
Mailing address
2180 W State Road 434Suite 2110
Longwood, FL 32779-5041
Phone 347-853-4719
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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