Individual
SHAHLA KHALILAHMADI ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8683
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME117940
FL
207LP3000X
Pediatric Anesthesiology Physician
ME117940
FL
Other
Enumeration date
07/27/2009
Last updated
03/12/2025
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