PUKHRAZ BASRA (NPI# 1407227721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407227721 |
| Entity Type | Individual |
| Full Name | PUKHRAZ BASRA |
| Credential | MD |
| Practice Address |
17 Davis Blvd Ste 308 Tampa FL 33606-3438 |
| Practice Telephone | 8137454673 |
| Mailing Telephone | 8137454673 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
ME139834 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME139834 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TRN21919 | FL | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 Alton Rd, Miami Beach, FL 331402948 | 3056742277 |
| Street Address |
17 DAVIS BLVD STE 308 |
| City | TAMPA |
| State | FL |
| Zip Code | 33606-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972536597 | Mary Ann V Miranda | Internal Medicine | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2006-07-08 |
| 1356955264 | Chen Wang | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-09-08 |
| 1801404413 | Abida Poovathukaran Babu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-20 |
| 1952919581 | Ahmad Omar Mohammad Armouti | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-20 |
| 1518585934 | Georges Haidamous | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-13 |
| 1689292260 | Sanita Raju | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-07-09 |
| 1366069957 | Sukjoo Cho | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-06-29 |
| 1689295461 | Brianna L Walker | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-05-03 |
| 1134740285 | Jason Robert Gandre | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-04-29 |
| 1366063695 | Sabah Akbani | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235758749 | Seyed Shayan Ahmad Falasiri | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. #308, Tampa, FL 33606 | 2020-04-14 |
| 1174156400 | Jessica Styles | Specialist/Technologist | The University of Tampa, 401 W. Kennedy Blvd, Tampa, FL 33606 | 2020-02-14 |
| 1295389757 | David Green | Specialist/Technologist | 401 W. Kennedy Blvd Box: I, Tampa, FL 33606 | 2019-08-01 |
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1699238014 | Azubuogu Charles Anudu | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd., Suite 308 Tampa, Fl 33606, Tampa, FL 33606 | 2019-04-11 |
| 1508327883 | D'arcy Jocelyn Arden Wainwright | Student in an Organized Health Care Education/Training Program | 17 David Blvd., Suite 308, Tampa, FL 33606 | 2019-03-28 |
| 1659851772 | Heather Widmer | Counselor | 202 N Howard Ave, Tampa, FL 33606 | 2018-08-17 |
| 1447737291 | Jonathan T Bell | Marriage & Family Therapist | 425 S. Orleans Ave, Tampa, FL 33606 | 2018-07-24 |
| 1184157539 | Alexander Lim | Student in an Organized Health Care Education/Training Program | 17 David Blvd, Suite 308, Tampa, FL 33606 | 2017-04-04 |
| 1760913057 | Melanie Loretta Bradley | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd. Suite 308, University of South Florida, Morsani College of Medicin, Tampa, FL 33606 | 2017-03-27 |
| Find all providers in zip 33606 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649201054 | Hernani Cualing | Pathology | 4225 E Fowler Ave Ste B, Tampa, FL 33617-2026 | 2006-07-05 |
| 1376775700 | Jinming Song | Pathology | 12902 Usf Magnolia Dr, 2073a, Tampa, FL 33612-9416 | 2009-08-19 |
| 1629227350 | Elizabeth Sagatys | Pathology | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639516024 | Daher Roberto Hajje | Pathology | 5361 Nw 33rd Ave, Ft Lauderdale, FL 33309 | 2013-05-27 |
| 1386844058 | Cristian Morosan | Pathology | 4800 Sw 35th Drive, Uf Drl At Rocky Point Labs, Gainesville, FL 32608 | 2007-07-20 |
| 1902008170 | Wilfredo Blasini | Pathology | 12751 Westlinks Dr, Unit 3, Fort Myers, FL 33913-8615 | 2007-06-01 |
| 1841403367 | Offiong Francis Ikpatt | Pathology | 1611 Nw 12th Ave # R2050, Department of Pathology, University of Miami, Miami, FL 33136-1005 | 2007-05-08 |
| 1073586707 | Richard T Parmley | Pathology | 5153 North 9th Ave, Pensacola, FL 32504-8785 | 2006-02-13 |
| 1407835507 | Serhan Alkan | Pathology | 7480 Sw 40th St, Suite 700, Miami, FL 33155-6600 | 2006-01-17 |
| 1255321584 | James A Stith | Pathology | 1620 Medical Ln, Suite 100, Fort Myers, FL 33907-1143 | 2005-10-27 |
| 1720421902 | Mohammad Shahid | Pathology | 655 W 8th St, Dept. of Pathology- Ufcom- Jacksonville, Jacksonville, FL 32209-6511 | 2013-04-08 |
| 1487996112 | Xin Liu | Pathology | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-03-20 |
| 1801154570 | Yi Zhou | Pathology | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2012-05-01 |
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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.