# JAMES A. HALEY VETERANS ADMINISTRATION HOSPITAL

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

## Provider details

- **NPI number:** 1699783100
- **Authorized official:** SHOHREH IRAVANI (STAFF PATHOLOGIST)
- **Authorized official phone:** (813) 972-2000

## Contact information

- **Practice address:** 13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
- **Practice address phone:** (813) 972-2000
- **Mailing address:** 13000 BRUCE B DOWNS BLVD, ATTENTION: DR. SHOHREH IRAVANI, TAMPA, FL 33612-4745
- **Mailing address phone:** (813) 972-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME67299 | FL | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 08/22/2020