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Gurdip Singh Hunjan

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

This provider is enrolled in PECOS as GURDIP HUNJAN.

Based on the most recent information from CMS, provider Gurdip Singh Hunjan is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1417237819
Provider Type
Individual
Full Name
Hunjan, Gurdip Singh
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/17/2011
Last Updated
11/21/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(042) 023-8469

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME129348 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME129348 Florida

Provider Identifiers

ID	Description	Issuer
ID 020652000	Description Medicaid	Issuer Unlisted Florida

Gurdip Singh Hunjan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Naimi, Haroon

Ob Hospitalist Group Llc

Mussallam Abu Shaibeh, Sandrela

Pai, Savita

Tismal, Daniel S

Patel, Tushar Mohanbhai

Kawaf, Layla

Romanelli, Mathew Charles

Zoglman, Jason

Whittingham, Rohann Lloyd