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Individual

FAWADULHAQ GILLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1303 W KENNEDY BLVD, TAMPA, FL 33606-1848
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
1020738
MA
2084P0800X
Psychiatry Physician
Primary
ME158355
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117349200
FL
01
S5HML
BCBS
FL
Enumeration date
01/26/2019
Last updated
12/07/2025
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