Organization
TAMPA BAY HAND CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHADER MUQTADIR M.D. (PRESIDENT / OWNER)
(813) 978-9494
Entity
Organization
Contact information
Practice address
13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Mailing address
13905 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL 33613-3998
(813) 978-9494
(813) 979-4817
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161339600
DEPT OF LABOR NUMBER
FL
01
—
39664
BCBS FL GROUP ID
FL
Enumeration date
03/08/2007
Last updated
05/11/2015
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