Individual
DR. YAZAN AL-OTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7487
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7473
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME173545
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4351046364
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
977806
FL
Other
Enumeration date
06/19/2020
Last updated
07/14/2025
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