DR. TARA KHAN (NPI# 1255533881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255533881 |
| Entity Type | Individual |
| Full Name | DR. TARA KHAN |
| Credential | D.O. |
| Practice Address |
3100 E Fletcher Avenue Tampa FL 33613-4613 |
| Mailing Address |
12479 Telecom Drive Tampa FL 33637-0913 |
| Practice Telephone | 8139716000 |
| Practice Fax Number | 8139725753 |
| Mailing Telephone | 8139724199 |
| Mailing Fax Number | 8139725753 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS10823 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 238186-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02957922 | 05 | |
| FL | 001717300 | 05 |
| Street Address |
3100 E FLETCHER AVENUE |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-4613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1053796342 | Tomislav Jelic | Emergency Medicine | One Davis Blvd, Suite 503, Tampa, FL 33606 | 2015-07-28 |
| 1669857108 | Keystone Medical Services of Tn, Pa | Emergency Medicine | 1201 W Swann Ave, Tampa, FL 33606-2639 | 2015-07-27 |
| 1710383849 | Jamshed Ahmad | Emergency Medicine | 11136 Ancient Futures Dr, Tampa, FL 33647-3577 | 2014-11-18 |
| 1124421409 | Bay Area Emergency Physicians Urgent Care LLC | Emergency Medicine | 6909 W Waters Ave, Tampa, FL 33634-2213 | 2014-10-01 |
| 1164842225 | Travel Doctor, Pl | Emergency Medicine | 10970 Cross Creek Blvd., Suite D, Tampa, FL 33647-4034 | 2014-04-16 |
| 1508283482 | Christian Nader Sobky | Emergency Medicine | 3614 Cypress Meadows Rd, Tampa, FL 33624-2912 | 2014-03-27 |
| 1104180538 | John Peter Santamaria | Emergency Medicine | 11327 Carrollwood Dr, Tampa, FL 33618-3703 | 2012-06-29 |
| 1710133673 | Jennifer Anne Locke | Emergency Medicine | 3001 West Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2008-08-12 |
| 1336302348 | Sumera Haroon Memon | Emergency Medicine | 12950 Race Track Rd, Suite 106, Tampa, FL 33626-1309 | 2008-07-09 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.