Faisal Mukhtar (NPI# 1093973943, PAC ID# 3779635354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1093973943 |
| PAC ID by PECOS | 3779635354 |
| Professional Enrollment ID | I20141219000879 |
| Full Name | Faisal Mukhtar |
| Organization Legal Name | MOHAMMAD ALI FAISAL, M.D., P.A. |
| Address |
1283 Swstate Rd Suite 47 Lake City FL 32025-0489 |
| Phone Number | 3867585985 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0042398034 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100113 | UF HEALTH SHANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 Sw Archer, Gainesville, FL 32610-3003 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC | |
| 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC | |
| 1600 Sw Archer Rd Rm, 1191 Uf Health Surgical Specialists Shands Hospital, Gainesville, FL 32610-3003 | 3522650535 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| 2000 Sw Archer Rd, Uf Health Congenital Heart Center Medical Plaza, Gainesville, FL 32610-3003 | 3522658250 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| 2001 Sw 13th St, Gainesville, FL 32608-1532 | 3522658990 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| 2001 Sw 13th St, Gi Clinic At Endoscopy Center, Gainesville, FL 32608-1532 | 3522658982 | FLORIDA CLINICAL PRACTICE ASSOCIATION INC |
| 1283 Swstate Rd, Suite 47, Lake City, FL 32025-0489 | 3867585985 | MOHAMMAD ALI FAISAL, M.D., P.A. |
| 4367 Nw American Ln, Lake City, FL 32055-4828 | 3867586094 | RIZWANA THANAWALA MD PA |
| Organization Legal Name | MOHAMMAD ALI FAISAL, M.D., P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ricardo J Rosado | Gastroenterology | Mohammad Ali Faisal, M.d., P.a. | 1283 Sw State Rd, 47 Suite 104, Lake City, FL 32025-0490 |
| Mohammad Ali Faisal | Gastroenterology | Mohammad Ali Faisal, M.d., P.a. | 1283 Sw State Rd, 47 Suite 104, Lake City, FL 32025-0490 |
| Carolyn Hopkins | Pathology | Mohammad Ali Faisal, M.d., P.a. | 1283 Sw State Rd, Lake City, FL 32025-0490 |
| Street Address |
1283 SWSTATE RD SUITE 47 |
| City | LAKE CITY |
| State | FL |
| Zip | 32025-0489 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly C Herring | Clinical Social Worker | 871 Sw State Rd, Suite 47, Lake City, FL 32025-0433 | |
| Charles M Varghese | Cardiovascular Disease (cardiology) | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | |
| Thomas J Salvucci | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Vijay M. Patel | Hematology/oncology | Florida Cancer Specialists and Research Institute, LLC | 495 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Donald Brent Hayden | General Practice | 733 Sw State Rd, Suite 47, Lake City, FL 32025-0453 | |
| Chi Lai | Cardiovascular Disease (cardiology) | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Edwin Gonzalez Navedo | General Surgery | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Stephanie K Finnell | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Eric Marquez | Obstetrics/gynecology | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Shelley Rose Perry | Nurse Practitioner | Lake Shore Hma Medical Group LLC | 755 Sw State Rd, Suite 47, Lake City, FL 32025-0453 |
| Find all physicians in zip 32025 | |||
| City | LAKE CITY |
| Zip Code | 32025 |
| Specialty | PATHOLOGY |
| City + Specialty | LAKE CITY + PATHOLOGY |
Please comment or provide details below to improve the information on Faisal Mukhtar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.