Individual
HADI MAHMALJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3010 E 138TH AVE STE 12, TAMPA, FL 33613-3999
(813) 975-2800
Mailing address
3010 E 138TH AVE STE 12, TAMPA, FL 33613-3999
(813) 975-2800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067688
IL
207R00000X
Internal Medicine Physician
153884
FL
207R00000X
Internal Medicine Physician
69916
CT
207RC0000X
Cardiovascular Disease Physician
153884
FL
207RI0011X
Interventional Cardiology Physician
Primary
153884
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114110700
—
FL
Enumeration date
06/22/2015
Last updated
08/24/2022
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