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NPI 1861682940 · live from the CMS NPI Registry

Rubina Y Bakerywala, M.D.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Jacksonville, FL. National Provider Identifier 1861682940, active.

NPI record

NPI1861682940 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X
Practice location2601 University Blvd W, Jacksonville, FL 32217
Practice phone904-203-4282
EnumeratedJuly 26, 2007
Last updatedOctober 5, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2084N0402X245248 (NY)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2084N0402X04-53587 (KS)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary2084N0402XME109578 (FL)
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2084N0402X2026034460 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.