Organization
MUKHERJEE & MUKAYED MDS PA
Active
Other names
MUKHERJEE & MUKAYED MDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USAMA MUKAYED MD (CEO)
(727) 521-4995
Entity
Organization
Contact information
Practice address
5800 49TH ST N STE 204, ST PETERSBURG, FL 33709-2100
(727) 521-4995
(727) 289-3420
Mailing address
5800 49TH ST N STE 204, ST PETERSBURG, FL 33709-2100
(727) 521-4995
(727) 289-3420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME51285
FL
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061768700
—
FL
01
—
97866
BCBS
FL
01
—
CC6463
RAILROAD MEDICARE
FL
Enumeration date
06/25/2006
Last updated
04/16/2024
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