# EXPRESS CARE OF TAMPA BAY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386700797
- **Authorized official:** DR. KHAWAJA A RAHMAN MD (PRESIDENT)
- **Authorized official phone:** (813) 690-7589

## Contact information

- **Practice address:** 6015 REX HALL LN, APOLLO BEACH, FL 33572-2657
- **Practice address phone:** (813) 641-0068
- **Practice address fax:** (813) 645-3816
- **Mailing address:** 6015 REX HALL LN, APOLLO BEACH, FL 33572-2657
- **Mailing address phone:** (813) 641-0068
- **Mailing address fax:** (813) 645-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0071027 | FL | — |
| 207R00000X | Internal Medicine Physician | ME0079013 | FL | Yes |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | ME71027 | FL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | ME79013 | FL | — |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 12/01/2011