OrganizationActive
Mahesh Bhambore MD PA
NPI 1831436005 · Internal Medicine Physician · Lutz, FL
Provider details
- NPI number
- 1831436005
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mahesh Bhambore, President(727) 403-4573
- License
- ME100193 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21762 State Road 54
Lutz, FL 33549-6921
Phone: (727) 403-4573
Street-level locationGet directions
Mailing address
20016 Ryman Pl
Tampa, FL 33647-3452
Other names (DBA / former)
- Doing business as
- Sunstate Medical Clinic
Registry dates
- Enumerated
- 2013-01-08
- Last updated
- 2013-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.